Imaging of Spontaneous Intracerebral Hemorrhage

Abhi Jain; Ajay Malhotra; Seyedmehdi Payabvash

doi:10.1016/j.nic.2021.02.003

Imaging of Spontaneous Intracerebral Hemorrhage

Neuroimaging Clin N Am. 2021 May;31(2):193-203. doi: 10.1016/j.nic.2021.02.003.

Authors

Abhi Jain¹, Ajay Malhotra², Seyedmehdi Payabvash³

Affiliations

¹ Department of Radiology, Einstein Healthcare Network, 5501 Old York Road, Philadelphia, PA 19141, USA.
² Division of Neuroradiology, Department of Radiology and Biomedical Imaging, Yale University School of Medicine, 330 Cedar Street, Tompkins East TE-2, New Haven, CT 06520, USA.
³ Division of Neuroradiology, Department of Radiology and Biomedical Imaging, Yale University School of Medicine, 330 Cedar Street, Tompkins East TE-2, New Haven, CT 06520, USA. Electronic address: sam.payabvash@yale.edu.

Abstract

Primary or nontraumatic spontaneous intracerebral hemorrhage (ICH) comprises approximately 15% to 20% of all stroke. ICH has a mortality of approximately 40% within the first month, and 75% mortality and morbidity rate within the first year. Despite reduction in overall stroke incidence, hemorrhagic stroke incidence has remained steady since 1980. Neuroimaging is critical in detection of ICH, determining the underlying cause, identification of patients at risk of hematoma expansion, and directing the treatment strategy. This article discusses the neuroimaging methods of ICH, imaging markers for clinical outcome prediction, and future research directions with attention to the latest evidence-based guidelines.

Keywords: CT angiography; Hematoma expansion; Hemorrhagic stroke; Intracerebral hemorrhage; MR imaging.

Publication types

Review

MeSH terms

Cerebral Hemorrhage* / diagnostic imaging
Hematoma
Humans
Neuroimaging
Prognosis
Stroke*

Abstract

Publication types

MeSH terms

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