TOP Symptoms and signs arteriosclerosis and hypertension are common signs. Kernig's sign - stiffness of neck occurs within a few hours. Often the result of maldevelopment of the media, particularly at bifurcation, allowing intima to bulge through. May also be caused by septic emboli, syphilis and arteriosclerosis. Diagnosis suspect anytime patient has sudden onset of headache, followed by Kernig's sign and one or more additional signs.
Treatment Keep flat in bed with minimal disturbance.
Angiography - serves to locate. Internal Carotid Internal carotid supplies homolateral eye, frontal lobe and parts of temporal and parietal lobes Problems resulting from disruption of internal carotid Transient attacks of homolateral blindness, contralateral hemiplegia or hemianesthesia and aphasia. Episodes usually terminate within 30 minutes. If longer, may be due to emboli originating from a plaque in the neck lodging in intracranial arteries. Infarction evolves in a stepwise fashion leading to hemiplegia or hemiparesis with a cortical type of sensory loss.