Which symptom is listed as an associated symptom of stroke, particularly with cerebellar or hemorrhagic stroke?

Which symptom is listed as an associated symptom of stroke, particularly with cerebellar or hemorrhagic stroke?

• A. Vomiting and nausea
• B. Stiff neck
• C. Photophobia
• D. SBP greater than 220

Answer: (A)

Vomiting and nausea arise when the stroke affects the posterior circulation, especially the cerebellum or brainstem, or when a hemorrhage raises intracranial pressure. The cerebellum is closely connected to the vestibular system and the vomiting center in the medulla, so irritation or compression from a cerebellar stroke commonly produces nausea and vomiting. In hemorrhagic stroke, the sudden bleeding increases pressure inside the skull, which can also trigger these symptoms. In contrast, a stiff neck points more to meningitis or meningeal irritation, photophobia is typical of meningitis or migraines, and an extremely high systolic BP is a sign of severe hypertension rather than an associated stroke symptom. Hence vomiting and nausea best fit as an associated symptom for cerebellar or hemorrhagic stroke.

Vomiting and nausea arise when the stroke affects the posterior circulation, especially the cerebellum or brainstem, or when a hemorrhage raises intracranial pressure. The cerebellum is closely connected to the vestibular system and the vomiting center in the medulla, so irritation or compression from a cerebellar stroke commonly produces nausea and vomiting. In hemorrhagic stroke, the sudden bleeding increases pressure inside the skull, which can also trigger these symptoms. In contrast, a stiff neck points more to meningitis or meningeal irritation, photophobia is typical of meningitis or migraines, and an extremely high systolic BP is a sign of severe hypertension rather than an associated stroke symptom. Hence vomiting and nausea best fit as an associated symptom for cerebellar or hemorrhagic stroke.