Berrys's thing!
Topic: Adult
Created on Friday, May 29 2009 by rednucleus
Last modified on Saturday, June 6 2009.
A 54-year-old man presents to the ER with sudden severe headache that is turned out to be due to acute subarachnoid hemorrhage. With respect to subarachnoid hemorrhage (SAH), which one is the wrong statement?
A) Its annual incidence in the States is 6 per 100 000 populations/year
B) Cerebral AVMs are a very common cause of SAH world-wide
C) Ruptured Berry's aneurysm is mostly seen during the 5th and 6th decades of life
D) Hypertension has not been conclusively demonstrated to predispose to the formation of the aneurysm
E) It is usually caused by a ruptured Berry aneurysm or arterio-venous malformation (AVM)
This question was created on May 29, 2009 by rednucleus.
This question was last modified on June 06, 2009.
ANSWERS AND EXPLANATIONS
A) Its annual incidence in the States is 6 per 100 000 populations/year
This answer is incorrect.
Ruptured Berry's aneurysm is responsible for up to 75% of cases of non-traumatic SAH. It has an equal sex incidence in general. Ruptured AVMs are mainly seen in the 2nd to 4th decades of life. Acute elevation of blood pressure (e.g. at orgasm) may be responsible for aneurysmal "rupture," not development. Ruptured AVMs are responsible for only 10% of SAH cases (with somewhat male preponderance).
(
See References)
B) Cerebral AVMs are a very common cause of SAH world-wide
This answer is correct.
Ruptured cerebral Berry aneurysm is responsible for up to 75% of cases of non-traumatic SAH; it has an equal sex incidence in general. Ruptured AVMs are mainly seen in the 2nd to 4th decades of life. Acute elevation of blood pressure (e.g. at orgasm) may be responsible for aneurysmal "rupture," not development. Ruptured AVMs are responsible for only 10% of SAH cases (with somewhat male preponderance). (
See References)
C) Ruptured Berry's aneurysm is mostly seen during the 5th and 6th decades of life
This answer is incorrect.
Ruptured Berry's aneurysm is responsible for up to 75% of cases of non-traumatic SAH. It has an equal sex incidence in general. Ruptured AVMs are mainly seen in the 2nd to 4th decades of life. Acute elevation of blood pressure (e.g. at orgasm) may be responsible for aneurysmal "rupture," not development. Ruptured AVMs are responsible for only 10% of SAH cases (with somewhat male preponderance).
(
See References)
D) Hypertension has not been conclusively demonstrated to predispose to the formation of the aneurysm
This answer is incorrect.
Ruptured Berry's aneurysm is responsible for up to 75% of cases of non-traumatic SAH. It has an equal sex incidence in general. Ruptured AVMs are mainly seen in the 2nd to 4th decades of life. Acute elevation of blood pressure (e.g. at orgasm) may be responsible for aneurysmal "rupture," not development. Ruptured AVMs are responsible for only 10% of SAH cases (with somewhat male preponderance).
(
See References)
E) It is usually caused by a ruptured Berry aneurysm or arterio-venous malformation (AVM)
This answer is incorrect.
Ruptured Berry's aneurysm is responsible for up to 75% of cases of non-traumatic SAH. It has an equal sex incidence in general. Ruptured AVMs are mainly seen in the 2nd to 4th decades of life. Acute elevation of blood pressure (e.g. at orgasm) may be responsible for aneurysmal "rupture," not development. Ruptured AVMs are responsible for only 10% of SAH cases (with somewhat male preponderance).
(
See References)
References:
1. Victor, M., and Ropper, A.H. (2005). Adams and Victor's Principles of Neurology, 8th Edition. McGraw-Hill, New York. (ISBN:007141620X)
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2. Aminoff, M.A., Greenberg, D.A., Simon, R.P. (2005). Clinical Neurology, 6th Edition. McGraw-Hill, New York. (ISBN:0071423605)
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adult
Berrys's thing!
Question ID: 052909065
Question written by rednucleus. (C) FrontalCortex.com 2006-2009, all rights reserved.
Created: 05/29/2009
Modified: 06/06/2009
Estimated Permutations: 120