Intracerebral haemorrhage ICH: investigations
Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .
Intracerebral haemorrhage ICH: investigations. Age <70 years. Fully referenced neurology checklist.
CT angiogram and venogram (CTA and CTV): indications
- Age <70 years
- Age <45 years with deep or posterior fossa spontaneous ICH without history of hypertension
- Age 45–70 years with deep or posterior fossa without history of hypertension
Digital subtraction angiography (DSA): indications
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Magnetic resonance imaging (MRI): monitoring indications
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References
- Morgenstern LB, Hemphill III JC, Anderson C, et al. Guidelines for the management of spontaneous intracerebral hemorrhage: a guideline for healthcare professionals from the American Heart Association/American Strike Association. Stroke 2010; 41:2108-2129.
- Mayer SA, Chong J. Critical care management of increased intracranial pressure. J Int Care Med 2002; 17: 55-67.
- Greenberg SM, Ziai WC, Cordonnier C, et al. 2022 guideline for the management of patients with spontaneous intracerebral hemorrhage: a guideline from the American Heart Association/American Stroke Association. Stroke 2022; 53:e282-e361.
- Burroughs-Ray DC, VanDillen AF, Jackson CD. Clinical guideline highlights for the hospitalist: 2022 American Heart Association/American Stroke Association Guideline for the management of patients with spontaneous intracerebral hemorrhage. J Hosp Med 2023; 18:624-626.
- Fouda AY, Newsome AS, Spellicy S, et al. Minocycline in acute cerebral hemorrhage: an early phase randomized trial. Stroke 2017; 48:2885-2887.
