MRI Features of Intracerebral Hemorrhage Within 2 Hours From Symptom Onset
Author(s) -
Italo Linfante,
R. Llinás,
Louis R. Caplan,
Steven Warach
Publication year - 1999
Publication title -
stroke
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.397
H-Index - 319
eISSN - 1524-4628
pISSN - 0039-2499
DOI - 10.1161/01.str.30.11.2263
Subject(s) - medicine , fluid attenuated inversion recovery , susceptibility weighted imaging , intracerebral hemorrhage , hematoma , magnetic resonance imaging , radiology , stroke (engine) , thrombolysis , diffusion mri , cardiology , subarachnoid hemorrhage , mechanical engineering , myocardial infarction , engineering
MRI has been increasingly used in the evaluation of acute stroke patients. However, MRI must be able to detect early hemorrhage to be the only imaging screen used before treatment such as thrombolysis. Susceptibility-weighted imaging, an echo-planar T2* sequence, can show intracerebral hemorrhage (ICH) in patients imaged between 2.5 and 5 hours from symptom onset. It is unknown whether MRI can detect ICH earlier than 2.5 hours. We describe 5 patients with ICH who had MRI between 23 and 120 minutes from symptom onset and propose diagnostic patterns of evolution of hyperacute ICH on MRI.
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