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Intracranial Hemrg
Neuro Exam
| Question | Answer |
|---|---|
| Hemorrhage between the dura and inner surface of skull. Usually arterial (middle menineal artery). | Epidural Hematoma |
| An epidural hemorrhage is considered to have a ______ onset. | Rapid |
| This occurs 80% of fronto-temporal lobes. | Epidural Hematoma |
| Due to ______ ______, pressure is exerted on brain tissue, resulting in neurological compromise. | Epidural Hematoma |
| Classic presentation of what, is immediate post-traumatic period of unconsciousness, followed by a lucid interval that is usually brief (few minutes)? | Epidural Hematoma |
| Followed by classic presentation of epidural hemorrhage, there is a rapid deterioration in _____. | LOC |
| What changes in LOC are seen with Epidural Hematoma? | Sleepiness, confusion, coma, possibly death |
| Enlarging pupil on same side of injury (ipsilateral), HA, seizures, and motor weakness are also sym of what? | Epidural Hematoma |
| OR stat- craniotomy with evacuation and decompression is the medical management of what? | Epidural Hematoma |
| Epidural Hematoma: What test is done to monitor size of hematoma? | CT scan |
| Mortality rate of Epidural Hematoma is dependent on what? | Availability of neurosurgical tx |
| Surgery for this is a life-saving measure. There is no guarantee of quality of life. | Epidural Hematoma |
| Rupture of small vessels that bridge dura space, covers surface area of brain. Associated with therapeutic anticoagulation. | Subdural Hematoma |
| Subdural Hematoma is considered to be venous with _______ onset. | Slow |
| Hx of fall or injury (within 1-2 weeks), no abn neuro sym at time of injury, gait apraxia, mild hemiparesis, minor alterations in LOC, HA are sym of what? | Subdural Hematoma |
| These are small and will reabsorb over time. | Subdural Hematoma |
| Large ________ __________ with significant neuro compromise requires surgical evacuation | Subdural Hematomas |
| Surgical procedure for Subdural Hematoma | Burr hole and drain |
| __________ and evacuation of hematoma needed if clotted blood is to gelatinous to be evacuated through burr hole. | Craniotomy |
| Why is Subdural Hematoma slower in geriatric pts than younger ones? | Older have more room in head d/t brain atrophy |
Created by:
mreedy
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