Emergency Radiology

, Volume 22, Issue 1, pp 53–63 | Cite as

Spontaneous brain parenchymal hemorrhage: an approach to imaging for the emergency room radiologist

  • Peter G. KranzEmail author
  • Timothy J. Amrhein
  • James M. Provenzale
Review Article


Spontaneous intracranial hemorrhage is a neurological emergency commonly encountered by the emergency radiologist. This article reviews the approach to spontaneous brain parenchymal hemorrhage, including common causes and the role of various neuroimaging modalities in the diagnostic workup. We emphasize the need for a primary survey directed at conveying information needed for emergent clinical management of the patient and a secondary survey directed at identifying the etiology of the hemorrhage.


Spontaneous intracranial hemorrhage Angiography Imaging 


Conflict of interest

The authors declare that they have no conflict of interest.


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Copyright information

© American Society of Emergency Radiology 2014

Authors and Affiliations

  • Peter G. Kranz
    • 1
    Email author
  • Timothy J. Amrhein
    • 1
  • James M. Provenzale
    • 1
    • 2
  1. 1.Department of RadiologyDuke University Medical CenterDurhamUSA
  2. 2.Departments of Radiology, Oncology and BioengineeringEmory University School of MedicineAtlantaUSA

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