Mednet Logo
HomeNeurologyQuestion

Do you typically recommend CT angiogram and CT venogram to assess for patients with lobar spontaneous ICH?

2 Answers
Mednet Member
Mednet Member
Neurology · HCA Houston Healthcare

For lobar hemorrhages I routinely obtain CTA (head/neck) & MRI (brain with contrast). On MRI, GRE/SWI sequences are good to look for micro-hemorrhage/amyloid-type of pathology. I only get MRA if patient has an elevated creatinine/CKD or anaphylaxis reaction to iodinated contrast. In my opinion, CTA ...

Register or Sign In to see full answer

Mednet Member
Mednet Member
Neurology · Harvard Medical School

For a spontaneous lobar hemorrhage, I would typically do an MRI of the brain and an MRA. The susceptibility-weighted images on MRI are more sensitive than CT for determining if prior old hemorrhages have occurred.

Register or Sign In to see full answer

Do you typically recommend CT angiogram and CT venogram to assess for patients with lobar spontaneous ICH? | Mednet