Clinical Consult: Prevent Expansion

00:00 - Intro
00:38 - Case
02:11 - Lesion localization
03:25 - Early differential diagnosis
05:44 - Confirming hemorrhage: The head CT
06:50 - Primary goal of hemorrhagic stroke management
07:31 - Preventing secondary injury.
08:57 - Causes of intracerebral hemorrhage
12:12 - Small vessel disease
13:11 - Vasculopathy
14:21 - Arteriovenous malformation
15:13 - Hemorrhagic neoplasm
16:31 - Hemorrhagic stroke risk by mechanism
18:23 - Back to our patient
19:51 - Learning points

This video is intended for medical students on clinical rotation to understand an approach to a patient presenting with acute intracerebral hemorrhage. We discuss the early management and the differential diagnosis of intracerebral hemorrhage.

Created by:
Igor Rybinnik MD
Produced and narrated by:
Igor Rybinnik MD
Neurology Clerkship Director
Rutgers Robert Wood Johnson Medical School

Images adapted from, and redrawn whenever possible:
Blumenfeld H. Neuroanatomy Through Clinical Cases, 2nd ed. Sinauer Associates, 2010.
Derdeyn CP, et al. Stroke 2017;48:e200-24
Solomon RA, Connolly ER. NEJM 2017;376:1859-66

Sound effects:
Who Wants to Be a Millionaire. ABC, 2015-2019

Disclaimer: Please note that this material was simplified for educational purposes. For patient management, please review your clinical society's guidelines and engage expert consultation when appropriate. Also, the opinions expressed in this talk do not necessarily reflect those of Rutgers Robert Wood Johnson Medical school or Rutgers University as a whole.