CTH and ablepharon macrostomia syndrome: The American College of Radiology 2019 appropriateness criteria for AMS do not explicitly favor CTH in patients with AMS without trauma, the risk for intracranial bleeding (such as anticoagulation use), hypertensive emergency, known intracranial process (mass, recent hemorrhage, recent infarct, central nervous system infection), new-onset delirium, or psychosis.