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  • Avc Hemoragic

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    llollollo
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    Hemorrhagic strokes account for 15% of vascular brain diseases and are caused by the rupture of a blood vessel in the brain, causing blood to leak into the brain tissue or subarachnoid space. Intraparenchymal hemorrhage is the most common type, affecting over 10% of stroke patients and having a 50% mortality rate. Risk factors include age over 55, male sex, alcohol consumption, hypertension, vascular malformations, amyloidosis, medications, and coagulation disorders. Treatment involves controlling blood pressure, treating any underlying causes, and sometimes surgical evacuation of clots or drainage of ventricles.

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    Hemorrhagic strokes account for 15% of vascular brain diseases and are caused by the rupture of a blood vessel in the brain, causing blood to leak into the brain tissue or subarachnoid space. Intraparenchymal hemorrhage is the most common type, affecting over 10% of stroke patients and having a 50% mortality rate. Risk factors include age over 55, male sex, alcohol consumption, hypertension, vascular malformations, amyloidosis, medications, and coagulation disorders. Treatment involves controlling blood pressure, treating any underlying causes, and sometimes surgical evacuation of clots or drainage of ventricles.

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    169 views9 pages

    Avc Hemoragic

    Uploaded by

    llollollo
    Hemorrhagic strokes account for 15% of vascular brain diseases and are caused by the rupture of a blood vessel in the brain, causing blood to leak into the brain tissue or subarachnoid space. Intraparenchymal hemorrhage is the most common type, affecting over 10% of stroke patients and having a 50% mortality rate. Risk factors include age over 55, male sex, alcohol consumption, hypertension, vascular malformations, amyloidosis, medications, and coagulation disorders. Treatment involves controlling blood pressure, treating any underlying causes, and sometimes surgical evacuation of clots or drainage of ventricles.

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    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
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    of 9

    Hemoragiile cerebrale

    15% din bolile vasculare cerebrale

    Def: suferinta cerebrala datorata efractiei unui vas - extravazarea sangelui in:
    parenchimul cerebral = hemoragie intraparenchimatoasa extracerebral = hemoragie subarahnoidiana

    Hemoragia intraparenchimatoasa (hemoragia cerebrala, apoplexia


    > 10% din AVC; 12-15/100.000 rata decese ~ 50%
    Factori de risc: varsta peste 55 ani, sex M consumul de alcool, droguri

    Factori de risc medicali


    HTA malformatii vasculare amiloidoza cerebrala iatrogen: antitrombotice, simpatomimetice coagulopatii leucoze tumori

    Topografie
    Profunda: HTA stress hemodinamic
    ganglioni bazali talamus punte cerebel

    Lobara: amiloidoza malformatii vasculare toxice (alcool) Fara predilectie: coagulopatii tumori

    Diagnostic clinic
    Debut brusc (in activitate), agravare progresiva (ore) cefalee intensa +/- varsaturi salt tensional (> AVC ischemic) alterarea starii constienta - coma deficit neurologic focal coresp topografiei: hemiplegie, paralizii nn cranieni, tulb sensibilitate, coordonare

    Diagnostic paraclinic
    CT urgenta / IRM dg etiologic

    Complicatii
    Resangerare edem cerebral efractie ventriculara - hidrocefalie acuta obstructiva complicatii generale: infectii, tromboze venoase, tulburari cardiace

    Tratament
    Medical:
    factor VIIa recombinat activat (NovoSeven) antiedematoase TAS < 180 mmHg trat etiologic (tulb coagulare)

    Chirurgical (+/-):
    evacuare: superficiale, risc letal (dimens, poz), tumori drenaj ventricular decompresie (si in AVC ischemice)

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