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Hemorragia intracerebral lobular - Symptom

Nombres alternativos

Hemorragia intracerebral (lobular); hemorragia intraparenquimal

Síntomas:

Los síntomas por lo general se presentan repentinamente y sin aviso, a menudo durante la actividad. Dichos síntomas varían dependiendo de la localización del sangrado y de la cantidad de tejido cerebral afectado.

Un cambio en el estado de lucidez mental o nivel de conciencia es el primer síntoma en la mitad de los pacientes. La persona puede parecer:

La demencia ocurre antes del sangrado en aquellas personas con amiloide cerebral. La afección es rara en niños.

Otros síntomas pueden ser:

Signos y exámenes:

Un examen neurológico puede mostrar signos de aumento de la presión intracraneal o disminución de las funciones cerebrales. Los síntomas específicos pueden ayudar a revelar cuál es la parte del cerebro afectada. Algunos pacientes con hemorragias leves pueden presentar sólo un dolor de cabeza.

Un examen de los ojos puede mostrar cambios en el movimiento ocular, reflejos anormales e hinchazón del nervio óptico a raíz del aumento de la presión en el cerebro.

Los exámenes pueden abarcar:

  • Reviewed last on: 9/13/2008
  • David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Zivin JA. Hemorrhagic cerebrovascular disease. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 432.

Goldstein LB. Prevention and management of stroke. In: Libby P, Bonow RO, Mann DL, Zipes DP, eds. Libby: Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 8th ed. Saunders;2007:chap 58.

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