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