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