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Neurol Clin. 2015 May;33(2):315-28. doi: 10.1016/j.ncl.2014.12.001.

Diagnostic evaluation for nontraumatic intracerebral hemorrhage.

Author information

1
Department of Neurology, University of Lille, UDSL, CHU Lille, Inserm U 1171, Lille 59000, France; CAPES Foundation, Ministry of Education, Quadra 2, Bloco L, Lote 06, Edifício Capes - CEP: 70.040-020 - Brasilia-DF, Brazil.
2
Department of Neurology, University of Lille, UDSL, CHU Lille, Inserm U 1171, Lille 59000, France.
3
Department of Neurology, University of Lille, UDSL, CHU Lille, Inserm U 1171, Lille 59000, France. Electronic address: charlotte.cordonnier@chru-lille.fr.

Abstract

Intracerebral hemorrhage (ICH) is a devastating condition with multiple possible underlying causes. Early diagnosis of ICH associated with a precise diagnostic work-up is mandatory. Clinical signs may give clues to diagnosis but are not reliable enough and imaging remains the cornerstone of management. Noncontrast computed tomography and magnetic resonance imaging (MRI) are highly sensitive for ICH identification. Additionally, MRI may disclose brain parenchymal biomarkers that can contribute to the etiologic diagnosis. Vessel examination should be carried out whenever there is a clinical suspicion of underlying structural lesions, such as vascular malformations or tumors. To date, conventional angiography remains the gold standard to detect intracranial vascular malformations in patients with ICH.

KEYWORDS:

Cerebral amyloid angiopathy; Deep perforating vasculopathy; Diagnostic evaluation; Digital subtraction angiography; Intracerebral hemorrhage; MRI

PMID:
25907908
DOI:
10.1016/j.ncl.2014.12.001
[Indexed for MEDLINE]

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