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Hemorrhagic Stroke

Signs & Symptoms

 Hemiplegia
Note: Bilateral involvement is uncommon Complete or partial loss of muscle strength in face, arm, and/or leg
Ref: Epocrates [ https://online.epocrates.com/diseases/107932/Hemorrhagic-stroke/Risk-Factors]
Hemiparesis
Note: Bilateral involvement is uncommon Complete or partial loss of muscle strength in face, arm, and/or leg
Ref: Epocrates [ https://online.epocrates.com/diseases/107932/Hemorrhagic-stroke/Risk-Factors]
Partial loss of muscle strength in face
Note: Bilateral involvement is uncommon Complete or partial loss of muscle strength in face, arm, and/or leg
Ref: Epocrates [ https://online.epocrates.com/diseases/107932/Hemorrhagic-stroke/Risk-Factors]
Weakness
Note: Bilateral involvement is uncommon Complete or partial loss of muscle strength in face, arm, and/or leg
Ref: Epocrates [ https://online.epocrates.com/diseases/107932/Hemorrhagic-stroke/Risk-Factors]

Physical Examination

 Elevated mean arterial blood pressure
Ref: Uptodate [ Overview of the evaluation of stroke]
Impairs fine sensory processing abilities
Note: due to Cortical sensory loss
Ref: Epocrates [ https://online.epocrates.com/diseases/107932/Hemorrhagic-stroke/Risk-Factors]
Impaired 2-point discrimination
Note: due to Cortical sensory loss
Ref: Epocrates [ https://online.epocrates.com/diseases/107932/Hemorrhagic-stroke/Risk-Factors]

Lab / Serology

 Autosomal dominant mutations in the COL4A1 gene
Ref: Epocrates [ https://online.epocrates.com/diseases/107932/Hemorrhagic-stroke/Risk-Factors]
Autosomal dominant mutations in the KRIT1 gene
Ref: Epocrates [ https://online.epocrates.com/diseases/107932/Hemorrhagic-stroke/Risk-Factors]
Autosomal dominant mutations in the CCM2 gene
Ref: Epocrates [ https://online.epocrates.com/diseases/107932/Hemorrhagic-stroke/Risk-Factors]

Imagin Study

 White platelet-fibrin
Note: Subhyaloid hemorrhages in the eye suggest a suddenly developing brain or SAH
Ref: Uptodate [ Complications of stroke: An overview]
Red clot emboli
Note: Subhyaloid hemorrhages in the eye suggest a suddenly developing brain or SAH
Ref: Uptodate [ Complications of stroke: An overview]
Subhyaloid hemorrhages
Note: Subhyaloid hemorrhages in the eye suggest a suddenly developing brain or SAH
Ref: Uptodate [ Complications of stroke: An overview]

Complication

 Urinary incontinence
Ref: Uptodate [ Complications of stroke: An overview]
Fatigue
Ref: Uptodate [ Complications of stroke: An overview]
Increased need for rest with usual activities
Ref: Uptodate [ Complications of stroke: An overview]

Risk Factors

 Elder
Ref: Epocrates [ https://online.epocrates.com/diseases/107932/Hemorrhagic-stroke/Risk-Factors]
Male
Ref: Epocrates [ https://online.epocrates.com/diseases/107932/Hemorrhagic-stroke/Risk-Factors]
Asian
Ref: Epocrates [ https://online.epocrates.com/diseases/107932/Hemorrhagic-stroke/Risk-Factors]

Cause

Other