Subpial hemorrhage in neonates: What radiologists need to know

André R.F. Barreto, Melisa Carrasco, Ania K. Dabrowski, Lisa R. Sun, Aylin Tekes

Research output: Contribution to journalArticlepeer-review


OBJECTIVE. Subpial hemorrhages, typically seen in neonates, are rare but can harm the adjacent brain parenchyma. The purpose of this review is to summarize the anatomy and pathophysiology of subpial hemorrhage and highlight its characteristic neuroimaging pattern. CONCLUSION. The distinctive neuroimaging pattern of subpial hemorrhage is best appreciated on brain MRI, which shows the morphology over the cortex and injury to adjacent cortex and subcortical white matter. These findings do not occur in subarachnoid and subdural hemorrhages. Recognizing the pattern of subpial hemorrhages should guide prognostic precision, prognostication, and counseling.

Original languageEnglish (US)
Pages (from-to)1056-1065
Number of pages10
JournalAmerican Journal of Roentgenology
Issue number4
StatePublished - Apr 2021


  • MRI
  • Neonate
  • Neuroimaging
  • Subpial hemorrhage

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging


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