STROKE-ICH, HYPERTENSIVE

SUMMARY

1. Linked to chronic HTN (>1/3 occur in normotensives).

2. Preceded by formation of “false” microaneurysms (of Charcot and Bouchard): arterial wall dilations secondary to HTN.

3. Frequently extends to the ventricular & subarachnoid spaces.

4. Symptoms: headache, nausea, vomiting, seizures, nuchal rigidity (in SAH), coma (pontine hemorrhage).

5. Locations: putamen, thalamus, pons, cerebellum, cerebrum.

Reference(s)

Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. Get it on Amazon.
Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. Get it on Amazon.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].