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kwartaal 2, samenvatting klinische neurologie cva
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samenvatting klinische neurologie, alles over cva
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Klinische neurologie - Herseninfarct & hersenbloedingIndeling cerebrovasculaire aandoeningen
- 80%: herseninfarct
- 20%: hersenbloeding
- <5%: subarachnoïdale bloeding (SAB), cerebrale veneuze sinustrombose (CVST) (lage leefiid)
- Hemorragische infacering: wanneer er eerst een herseninfarct is en daardoor een bloeding
- Lobaire bloeding: bloeding in een hersenkwab
- Lacunair infarct: een klein herseninfarct
Risicofactoren
Herseninfarct
- Hoge bloeddruk is de belangriikste risicofactor
- Roken
- Diabetes
- Hyperlipidemie
- Erfeliik aangelegd
- Overgewicht en onderbelastng
- Cardiale insufciënte
Hersenbloeding
- Hoge bloeddruk
- Antstollingsmiddelen gebruik
- Stollingsstoornissen
- Vaatmalformates
- Bloeding in een tumor
- Cocaïnegebruik
Diagnostiek
- Anamnese + lichameliik onderzoek
o Vaststellen of het kan worden gekoppeld aan een beroerte
o Risicofactoren, andere aandoeningen voor de prevente
- Hersenbloeding of herseninfarct?
o Hersenbloeding
Braken
Hoofdpiin
Bewustziinsdaling
Hyperdens op de CT scan
o Herseninfarct
Uitval van een lichaamshelf
TIA als gevolg
Na 1-3 dagen pas volledig te zien op de CT scan
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