Hemorrhagic stroke physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Physical examination

Locations	Physical examination
Putamenal hemorrhage (35%)	Hemiplegia Hemisensory loss Homonymous hemianopsia Gaze palsy Stupor Coma
Thalamic hemorrhage (15%)	Downward gaze (paralysis of upward gaze) Small pupils (lack of light pupillary response) Depressed consciousness Apathy Hypersomnolence Disorientation Visual hallucinations Aphasia Impairment of verbal memory Visuospatial dysfunction
Pontine hemorrhage (5-12%)	Decreased level of consciousness (most common) Long tract signs including tetra paresis Cranial nerve palsies Seizures Cheyne-Stokes respiration
Cerebellar hemorrhage (16%)	Small bleeds Ataxia Nystagmus Larger bleeds Impair consciousness Obstructive hydrocephalus (obstruct the fourth ventricle)
Lobar hemorrhage	Acute neurological deterioration Decreased GCS

References

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