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What is the optimal imaging procedure to evaluate suspected intracranial hemorrh

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Argirios Argiriou:
- What is the optimal imaging procedure to evaluate suspected intracranial hemorrhage?

- Pre-contrast CT scan is the imaging procedure of choice to evaluate intracerebral hemorrhage. Acute hematoma is seen by pre-contrast CT imaging as an area of high density. CT can detect acute intracerebral blood as small as 2 mm, due to contrast between high density of blood and low density of surrounding brain.   

 

Etiology for intracranial hemorrhage:

Trauma
Aneurysm / AVM rupture
Tumors
Stroke with reperfusion
Venous infarction
Vasculitis
Eclampsia
Amyloid angiopathy in elderly
Hypertension
Coagulopathy

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