Pediatric Radiology

, Volume 36, Issue 9, pp 940–946 | Cite as

Is there a role for magnetic resonance imaging in the evaluation of non-traumatic intraparenchymal haemorrhage in children?

  • Andrea C. Y. LiuEmail author
  • Nathaniel Segaren
  • Timothy S. C. Cox
  • Richard D. Hayward
  • Wui Khean Chong
  • Vijeya Ganesan
  • Dawn E. Saunders
Original Article



In contrast to adults, intraparenchymal haemorrhage (IPH) is at least as common as ischaemic stroke in children. There is often uncertainty about the most appropriate modality for imaging in the acute stage.


To examine the diagnostic value of MRI and MR angiography (MRA) in the detection of underlying pathology in children with non-traumatic IPH.

Materials and methods

A retrospective review was conducted of children with IPH from January 1997 to March 2003. After exclusion of patients with traumatic IPH or previously diagnosed vascular malformation, aneurysm, or brain tumour, 50 children were identified. Case notes and imaging studies were reviewed.


An underlying lesion was demonstrated with MR in two-thirds of children (25/38) with IPH. A vascular lesion was the commonest cause, followed by tumour. Three children had false-negative MR scans.


MR is a valuable non-invasive imaging modality for detection of both vascular and non-vascular causes of paediatric IPH. The high rate of the latter in childhood makes incorporation of MR into paediatric IPH imaging protocols especially important. Clinical guidelines regarding the optimum sequence of investigations in non-traumatic IPH would be helpful to standardize practice and enable critical appraisal.


Brain Haemorrhage MRI Children 


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Copyright information

© Springer-Verlag 2006

Authors and Affiliations

  • Andrea C. Y. Liu
    • 1
    • 5
    Email author
  • Nathaniel Segaren
    • 2
  • Timothy S. C. Cox
    • 1
  • Richard D. Hayward
    • 3
  • Wui Khean Chong
    • 1
  • Vijeya Ganesan
    • 4
  • Dawn E. Saunders
    • 1
  1. 1.Department of RadiologyGreat Ormond Street HospitalLondonUK
  2. 2.Department of NeurologyGreat Ormond Street HospitalLondonUK
  3. 3.Department of NeurosurgeryGreat Ormond Street HospitalLondonUK
  4. 4.Neurosciences Unit, Institute of Child HealthUniversity College LondonLondonUK
  5. 5.Department of RadiologyUniversity Hospital of WalesCardiffUK

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