The value of MRI in angiogram-negative intracranial haemorrhage

Neuroradiology. 1994 Aug;36(6):422-5. doi: 10.1007/BF00593674.

Abstract

In one year, cerebral angiograms were performed for intracranial haemorrhage (ICH) on 334 patients. No cause for haemorrhage could be identified in 41 (12%), 30 of whom had predominantly subarachnoid (SAH) and 11 predominantly parenchymal haemorrhage (PH). These patients were prospectively examined by cranial MRI 1-6 weeks after the ictus. The MRI studies were positive in 7 patients (17%). In the 30 patients examined after SAH, 2 studies were positive, showing an aneurysm in one case and a brain stem lesion of uncertain aetiology in the other. In those examined after PH, cavernous angiomas were shown in 2, a tumour in 1 and a vascular malformation in another; useful diagnostic information was thus obtained in 36% of this group.

MeSH terms

  • Adult
  • Aged
  • Aneurysm, Ruptured / diagnosis
  • Brain Diseases / diagnosis*
  • Brain Neoplasms / diagnosis
  • Brain Stem / pathology
  • Cerebral Angiography*
  • Cerebral Hemorrhage / diagnosis*
  • Diagnosis, Differential
  • Female
  • Hemangioma, Cavernous / diagnosis
  • Humans
  • Intracranial Aneurysm / diagnosis
  • Intracranial Arteriovenous Malformations / diagnosis
  • Magnetic Resonance Angiography*
  • Male
  • Middle Aged
  • Prospective Studies
  • Subarachnoid Hemorrhage / diagnosis*