Do head CT be repeated in an ICH patient
When should a head CT be repeated in an ICH patient?
Follow-up head CT scanning is usually performed 6 to 24 hours after presentation or earlier if there is a change in neurologic examination.
Given the chance of hemorrhage expansion, repeat imaging is common, but it is expensive and may be dangerous. It is important to recognize that without a clinical change, the yield of repeat CT is low. It may be safely deferred in most circumstances.
Some exceptions may include patients with increased ICP, a GCS score <12, or epidural hematoma, as the clinical examination may be less sensitive and the likelihood of intervention greater in these circumstances.
