Traumatic intracerebral hemorrhage - Revision history

Rossdonaldson1: /* Differential Diagnosis */

2025-02-26T16:55:20Z

Differential Diagnosis

← Older revision		Revision as of 16:55, 26 February 2025
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	==Differential Diagnosis==		==Differential Diagnosis==
	*[[Concussion]]
	{{Head trauma DDX}}		{{Head trauma DDX}}
	{{Maxillofacial trauma DDX}}		{{Maxillofacial trauma DDX}}

Rossdonaldson1 at 16:54, 26 February 2025

2025-02-26T16:54:38Z

← Older revision		Revision as of 16:54, 26 February 2025
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	*The pathological accumulation of blood within the cranium.		*The pathological accumulation of blood within the cranium.
	**May occur within the brain parenchyma or the surrounding meningeal spaces.		**May occur within the brain parenchyma or the surrounding meningeal spaces.

			{{Intracranial hemorrhage DDX}}

	==Clinical Features==		==Clinical Features==
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	==Differential Diagnosis==		==Differential Diagnosis==
	*[[Concussion]]		*[[Concussion]]
	~~{{Intracranial hemorrhage DDX}}~~
	{{Head trauma DDX}}		{{Head trauma DDX}}
	{{Maxillofacial trauma DDX}}		{{Maxillofacial trauma DDX}}

Rossdonaldson1: /* Differential Diagnosis */

2025-02-26T16:53:45Z

Differential Diagnosis

← Older revision		Revision as of 16:53, 26 February 2025
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	==Differential Diagnosis==		==Differential Diagnosis==
			*[[Concussion]]
	{{Intracranial hemorrhage DDX}}		{{Intracranial hemorrhage DDX}}
			{{Head trauma DDX}}
	~~===[[Concussion]]===~~

	{{Maxillofacial trauma DDX}}		{{Maxillofacial trauma DDX}}

Rossdonaldson1: /* Evaluation */

2025-02-26T16:52:35Z

Evaluation

← Older revision		Revision as of 16:52, 26 February 2025
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	==Evaluation==		==Evaluation==
			[[File:Traumatische SAB 001 Kontrolle mit Aufbluehen.png\|thumb\|Traumatic subarachnoid hemorrhage on CT with additional intraparenchyma hemorrhage (arrow): so-called “blooming” of the contusion.]]
	*Monitor for [[elevated ICP\|increased ICP]]		*Monitor for [[elevated ICP\|increased ICP]]
	**[[headache]], [[nausea and vomiting]], [[seizure]], [[lethargy]], [[hypertension]], [[bradycardia]], agonal respirations, posturing		**[[headache]], [[nausea and vomiting]], [[seizure]], [[lethargy]], [[hypertension]], [[bradycardia]], agonal respirations, posturing

Rossdonaldson1: /* Clinical Features */

2025-02-26T16:48:30Z

Clinical Features

← Older revision		Revision as of 16:48, 26 February 2025
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	==Clinical Features==		==Clinical Features==
			[[File:TBI GCS.jpg\|thumb\|Distribution of GCS in [[traumatic brain injury]]]]
	{{GCS table}}		{{GCS table}}

Rossdonaldson1: /* Background */

2025-02-26T16:47:58Z

Background

← Older revision		Revision as of 16:47, 26 February 2025
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	==Background==		==Background==
	*The pathological accumulation of blood within the cranium. ~~This may~~ occur within the brain parenchyma or the surrounding meningeal spaces.		*The pathological accumulation of blood within the cranium.
			**May occur within the brain parenchyma or the surrounding meningeal spaces.

	==Clinical Features==		==Clinical Features==

Rossdonaldson1 at 16:47, 26 February 2025

2025-02-26T16:47:41Z

← Older revision		Revision as of 16:47, 26 February 2025
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	==Background==		==Background==
			*The pathological accumulation of blood within the cranium. This may occur within the brain parenchyma or the surrounding meningeal spaces.

	~~It is the pathological accumulation of blood within the cranium. This may occur within the brain parenchyma or the surrounding meningeal spaces.~~		==Clinical Features==

	{{GCS table}}		{{GCS table}}

	~~==Clinical Features==~~

	==Differential Diagnosis==		==Differential Diagnosis==

Rossdonaldson1 at 16:45, 26 February 2025

2025-02-26T16:45:46Z

← Older revision		Revision as of 16:45, 26 February 2025
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	{{Increased ICP treatment}}		{{Increased ICP treatment}}

	==Repeat Imaging in Traumatic Subarachnoid Hemorrhage<ref>Borczuk, et al. Patients with traumatic subarachnoid hemorrhage are at low risk for deterioration or neurosurgical intervention. J Am Coll Surg. 2014; 219.</ref><ref>Nahmias JT, et al. Mild Traumatic Brain Injuries Can Be Safely Managed Without Neurosurgical Consultation: The End of a Neurosurgical "Nonsult"? American Association for the Surgery of Trauma. Annual Meeting. 2016</ref>==		==Disposition==
			*Admit (most frequently to ICU)

			==Prognosis==
			===Repeat Imaging in Traumatic Subarachnoid Hemorrhage<ref>Borczuk, et al. Patients with traumatic subarachnoid hemorrhage are at low risk for deterioration or neurosurgical intervention. J Am Coll Surg. 2014; 219.</ref><ref>Nahmias JT, et al. Mild Traumatic Brain Injuries Can Be Safely Managed Without Neurosurgical Consultation: The End of a Neurosurgical "Nonsult"? American Association for the Surgery of Trauma. Annual Meeting. 2016</ref>===
	*Patients with normal neurologic exam NOT on anticoagulation do not need a repeat head CT		*Patients with normal neurologic exam NOT on anticoagulation do not need a repeat head CT
	**Recommend 6 hour observation		**Recommend 6 hour observation
	*Patients with GCS 13 or higher may not need a NSGY consult, regardless of antiplatelet or anticoagulation, as long as agent properly reversed		*Patients with GCS 13 or higher may not need a NSGY consult, regardless of antiplatelet or anticoagulation, as long as agent properly reversed

	~~==Disposition==~~
	*Admit (most frequently to ICU)

	==See Also==		==See Also==

Rossdonaldson1: /* See Also */

2025-02-26T16:36:36Z

Teledoc4u: /* Background */

2020-05-13T09:26:23Z

Background

← Older revision		Revision as of 09:26, 13 May 2020
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	==Background==		==Background==

			It is the pathological accumulation of blood within the cranium. This may occur within the brain parenchyma or the surrounding meningeal spaces.

	{{GCS table}}		{{GCS table}}

← Older revision		Revision as of 16:36, 26 February 2025
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	**Recommend 6 hour observation		**Recommend 6 hour observation
	*Patients with GCS 13 or higher may not need a NSGY consult, regardless of antiplatelet or anticoagulation, as long as agent properly reversed		*Patients with GCS 13 or higher may not need a NSGY consult, regardless of antiplatelet or anticoagulation, as long as agent properly reversed

			==Disposition==
			*Admit (most frequently to ICU)

	==See Also==		==See Also==