Intracerebral hemorrhage CT

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sara Mehrsefat, M.D. [2]

Overview

CT is very sensitive for identifying acute hemorrhage and is considered the gold standard.[1][2]

CT

Noncontrast cranial CT is very sensitive for identifying acute hemorrhage and is considered the gold standard.[1][2][3]

The following information can be defined by CT scan:

Type of hemorrhage Radiologic criteria
Hyperacute
  • Hyperdense
After one week
  • Isodense
  • Ring enhancemen
Chronic
  • Hypodense
Hemorrhagic transformation of a cerebral infarct
  • Patchy appearance of the hyperdensity within a larger area of low attenuation
  • Wedge-shaped abnormality that extends to the cortex

Images

The following are images associated with intracerebral haemorrhage.[4]

References

  1. 1.0 1.1 Fiebach JB, Schellinger PD, Gass A, Kucinski T, Siebler M, Villringer A, Olkers P, Hirsch JG, Heiland S, Wilde P, Jansen O, Röther J, Hacke W, Sartor K; Kompetenznetzwerk Schlaganfall B5. Stroke magnetic resonance imaging is accurate in hyperacute intracerebral hemorrhage: a multicenter study on the validity of stroke imaging. Stroke. 2004;35:502– 506. doi: 10.1161/01.STR.0000114203.75678.8
  2. 2.0 2.1 Chalela JA, Kidwell CS, Nentwich LM, Luby M, Butman JA, Demchuk AM, Hill MD, Patronas N, Latour L, Warach S. Magnetic resonance imaging and computed tomography in emergency assessment of patients with suspected acute stroke: a prospective comparison. Lancet. 2007;369:293–298. doi: 10.1016/S0140-6736(07)60151-2.
  3. Kidwell CS, Wintermark M (2008). "Imaging of intracranial haemorrhage". Lancet Neurol. 7 (3): 256–67. doi:10.1016/S1474-4422(08)70041-3. PMID 18275927.
  4. Intracerebral Hemotrrhage https://radiopaedia.org/cases/intracerebral-haemorrhage-2 Accessed on November 9, 2016


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