Imaging of Hemorrhagic Stroke in Children

Neuroimaging Clin N Am. 2024 Nov;34(4):615-636. doi: 10.1016/j.nic.2024.08.023. Epub 2024 Sep 16.

Abstract

Hemorrhagic stroke (HS) is an important cause of neurologic morbidity and mortality in children and is more common than ischemic stroke between the ages of 1 and 14 years, a notable contradistinction relative to adult stroke epidemiology. Rapid neuroimaging is of the utmost importance in making the diagnosis of HS, identifying a likely etiology, and directing acute care. Computed tomography and MR imaging with flow-sensitive MR imaging and other noninvasive vascular imaging studies play a primary role in the initial diagnostic evaluation. Catheter-directed digital subtraction angiography is critical for definitive diagnosis and treatment planning.

Keywords: Angiography; Brain; Children; Computed tomography; DSA; Hemorrhagic; MR imaging; Stroke.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Angiography, Digital Subtraction / methods
  • Brain / diagnostic imaging
  • Child
  • Child, Preschool
  • Hemorrhagic Stroke* / diagnostic imaging
  • Humans
  • Infant
  • Magnetic Resonance Imaging / methods
  • Neuroimaging* / methods
  • Tomography, X-Ray Computed* / methods