Intrakranielle Blutung: Subdurales Hämatom und Subarachnoidalblutung
Über den Vortrag
Der Vortrag „Intrakranielle Blutung: Subdurales Hämatom und Subarachnoidalblutung“ von Roy Strowd, MD ist Bestandteil des Kurses „Ischämischer Schlaganfall und intrakranielle Blutungen“.
Quiz zum Vortrag
A non-contrast CT head demonstrates a crescent-shaped hyperdensity below the inner layer of the dura but external to the brain and arachnoid membrane. What is the diagnosis?
- Subdural hematoma
- Intraparenchymal hemorrhage
- Intraventricular hemorrhage
- Epidural hematoma
- Subarachnoid hemorrhage
How does a subdural hematoma typically present clinically?
- New onset focal neurologic deficit with progressive deficits over time
- A lucid interval followed by a rapid decline in cognition
- Worst headache of the patient's life
- Neck stiffness and fever with a rapid decline in cognition
How do patients with a subarachnoid hemorrhage typically present clinically?
- Sudden, severe-onset headache, symptoms of increased intracranial pressure
- A lucid interval followed by a rapid decline in cognition
- New onset focal neurologic deficit with progressive deficits over time
- A resting tremor and bradykinesia
- Personality changes and hallucinations
On non-contrast CT head, we see hyperdense signal lining up in the spaces between the circle of Willis and expanding into intracranial vascular territories. What is the next best test to evaluate this patient's pathology?
- CT Angiography
- T2-weighted MRI
- FLAIR MRI
- Transcranial Doppler
In the management of subarachnoid hemorrhage, it is important to prevent vasospasm caused by irritation of vasculature secondary to blood. Which medication is particularly effective at accomplishing this?
- Nimodipine
- Nicardipine
- Propranolol
- Phenoxybenzamine
- Lisinopril
In the management of subdural hematoma, at what size should a physician consider surgical intervention?
- Greater than 1 cm
- Greater than 5 cm
- Greater than 0.5 cm
- Surgery is generally avoided in the management of subdural hematoma
- All sizes
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Dozent des Vortrages Intrakranielle Blutung: Subdurales Hämatom und Subarachnoidalblutung
Roy Strowd, MD
Dr. Roy Strowd is the Assistant Dean of Undergraduate Medical Education at the Wake Forest Baptist Medical Center, in North Carolina, USA.
He obtained his MD from Wake Forest School of Medicine in 2009, and his MEd from Johns Hopkins University in 2021. Currently, he co-directs the Neurofibromatosis and Tuberous Sclerosis Clinics at Wake Forest Baptist Medical Center, and is a researcher for the Adult Brain Tumor Consortium (ABTC) and Alliance for Clinical Trials in Neuro-Oncology.
Due to his achievements, he earned the M. Brownell Anderson Award from the Association of American Medical Colleges.
Within Lecturio, Dr. Strowd teaches courses on Clinical Neurology.
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