Chapter

Clinical diagnosis

Michael G. Hennerici, Rolf Kern, Kristina Szabo and Johannes Binder

in Stroke

Published on behalf of Oxford University Press

Published in print July 2012 | ISBN: 9780199582808
Published online July 2012 | e-ISBN: 9780191739651 | DOI: http://dx.doi.org/10.1093/med/9780199582808.003.007

Series: Oxford Neurology Library

Clinical diagnosis

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• In stroke patients certain combinations of neurologic signs may establish the location of ischemia and the vascular territory involved. Knowledge of the major arterial syndromes may also be helpful in identifying possible underlying stroke mechanisms. • The spectrum of clinical signs of intracerebral haemorrhage is very wide and reflects the location and size of the haematoma. Clinically, intracerebral haemorrhage cannot be distinguished from cerebral ischaemia. • The clinical syndrome of subarachnoid haemorrhage consists of severe headache of sudden onset (‘thunderclap’), followed by loss of consciousness, nuchal rigidity, and few neurological deficits. • Cerebral venous thrombosis may be bland or may cause haemorrhagic infarction due to venous congestion. Depending on the location of the thrombosis and the collateral blood flow, the range of clinical symptoms is extremely wide.

Chapter.  3939 words. 

Subjects: Neurology

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