20 Intracranial Bleeding
ICP
Causes
![](https://photos.thisispiggy.com/file/wikiFiles/FE057C43-0AE6-4083-AFF9-E16C73DDDE50.jpg)
Symptoms
![](https://photos.thisispiggy.com/file/wikiFiles/FC9F03BD-8A52-4E35-B0E0-21EA5359B5B4.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/48EFBFD6-A29F-41CD-A7DC-B196EA654009.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/19E9FE3F-1524-4EF6-A02E-336B275F72C3.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/6236BAAC-93CA-4C51-9916-794832342355.jpg)
- lesion above red nucleus: decorticate
- lesion below red nucleus: decerebrate
GCS
![](https://photos.thisispiggy.com/file/wikiFiles/9BD43229-F701-4AD4-92BC-2AB8C4CF3ED5.jpg)
Herniation
![](https://photos.thisispiggy.com/file/wikiFiles/F12B0777-0C74-466C-B20C-32BA51A4530B.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/2FB2E9BA-9AFD-4E9D-A5A7-891168B55CA9.jpg)
- Subfalcine: 3, cingulate gyrus goes under false cerebri
- Uncal: 1, medial temporal lobe uncus goes down
- Central: 2, diencephalon goes down against midbrain
- Tonsillar: 5
Subfalcine
![](https://photos.thisispiggy.com/file/wikiFiles/14E281F2-8AFD-451D-91B3-23531E2D4254.jpg)
- left lesion, left side knocked out, right leg paresis
Uncal
![](https://photos.thisispiggy.com/file/wikiFiles/EA76FAF2-D817-4568-870E-D21108096C51.jpg)
- tentorium: dura matter above cerebellum
![](https://photos.thisispiggy.com/file/wikiFiles/11E3166E-F0D0-45E0-9E3E-35B1E89162C6.jpg)
- can get false localizing sign, opposide side compression
![](https://photos.thisispiggy.com/file/wikiFiles/588DAB57-39FA-4EEA-9DEC-1204C546CBD9.jpg)
Transtentorial
![](https://photos.thisispiggy.com/file/wikiFiles/4793EB6C-BDF7-4067-9C68-E1189F874270.jpg)
- uncal one subtype of transtentorial
- central: 2, thalamus/hypothalamus/etc all herniates
Tonsilar
![](https://photos.thisispiggy.com/file/wikiFiles/EEB0A77D-3FBF-4EAD-803A-6E61F7F715FF.jpg)
Bleeding
![](https://photos.thisispiggy.com/file/wikiFiles/F8D443B6-1A65-4A5F-8C32-1A4F2E571E10.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/C5C54460-A7B2-47E7-9F9D-C14DF28EA817.jpg)
Epidural
![](https://photos.thisispiggy.com/file/wikiFiles/A69A3337-DAB2-420D-BAE9-92278995C938.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/22E738D4-208B-4B21-A6B1-F2347FF434A5.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/31D830E3-57B8-4B6C-9C72-B3A7DE373416.jpg)
- 3rd branch is middle meningeal
![](https://photos.thisispiggy.com/file/wikiFiles/6A0AC737-F3CD-492E-86B9-D4B77190F66E.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/95DF9EAD-CA5B-48DC-98F1-C98D252025E1.jpg)
- lucid interval: severe, knocked out, then conscious again
Subdural
![](https://photos.thisispiggy.com/file/wikiFiles/D27C203A-2533-46D6-A879-CC00CF427799.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/91029B52-FBDE-4341-A3A0-36B66DCEE37D.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/B7B4BC7A-33E9-4B11-ADFF-4F600C1E88D3.jpg)
SAH
![](https://photos.thisispiggy.com/file/wikiFiles/762E89E9-C29C-482B-BDA8-609AEE08B064.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/BBD46BEB-29C9-4AFF-84FD-85857838D75F.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/3FBAEEF7-AE6E-40DD-AAB6-9CB05EE44F96.jpg)
Hemorrhagic
![](https://photos.thisispiggy.com/file/wikiFiles/CCEDEED7-C971-407D-A37B-238470BBF214.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/DDF854FF-03AF-4786-9744-16A1F5E65008.jpg)
- ischemic stroke sites different from intraparenchymal bleeding. Most common ischemic is MCA
![](https://photos.thisispiggy.com/file/wikiFiles/3611FE2D-C1CE-4B33-8020-3573CE66F963.jpg)
- putamen stroke affects IC, thalamus, FEF
Charcot-Bouchard
![](https://photos.thisispiggy.com/file/wikiFiles/809651B3-D2D5-4157-AA6A-96EC01770662.jpg)
Cerebral Amyloid Angiopathy
![](https://photos.thisispiggy.com/file/wikiFiles/D937895B-8AEC-4EB2-8CF8-FB076E9FA130.jpg)
IVH
![](https://photos.thisispiggy.com/file/wikiFiles/800D3A57-9CAC-434E-B753-653922E82AD0.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/0504BCC8-946B-4491-BA14-C8B0E41F805A.jpg)
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