Is lumbar puncture still needed in suspected subarachnoid hemorrhage after a negative head computed tomographic scan?
نویسندگان
چکیده
CLINICAL QUESTION Is lumbar puncture still needed in suspected subarachnoid hemorrhage with a negative head computed tomographic scan performed within 6 hours of headache onset? ARTICLE CHOSEN Perry JJ, Stiell IG, Sivilotti ML, et al. Sensitivity of computed tomography performed within six hours of onset of headache for diagnosis of subarachnoid haemorrhage: prospective cohort study. BMJ 2011;343:d4277. OBJECTIVE To determine whether lumbar puncture can be safely omitted after a negative head computed tomographic scan in the workup of a suspected subarachnoid hemorrhage.
منابع مشابه
Yield of catheter angiography after computed tomography negative, lumbar puncture positive subarachnoid hemorrhage [corrected].
BACKGROUND AND PURPOSE Patients suspected of having aneurysmal subarachnoid hemorrhage (SAH) are initially evaluated with noncontrast head computed tomography. If the computed tomography is negative, but clinical concern for SAH is high, a lumbar puncture with cerebrospinal fluid analysis is typically performed. The purpose of this study was to evaluate the accuracy of cerebrospinal fluid xanth...
متن کاملDetermining the sensitivity of computed tomography scanning in early detection of subarachnoid hemorrhage.
OBJECTIVE This study aims to determine the sensitivity of modern computed tomography (CT) scanners in detecting subarachnoid hemorrhage (SAH) and to determine whether there is a continued need for lumbar puncture to exclude the diagnosis. METHODS This retrospective study was conducted from January 2000 to December 2005. The study population consisted of all patients referred on suspicion of S...
متن کاملDiagnostic Accuracy of Computed Tomographic Angiography (CTA) in the Management of Aneurysmal Subarachnoid Haemorrhage (SAH)
Subarachnoid hemorrhage secondary to ruptured aneurysm is a critical clinical situation demanding a very skilled surgical and medical management. Until now cerebral digital subtraction angiography (DSA) has been used as the criterion standard for aneurysmal detection and planning of their microsurgical treatment. However, as the method for diagnosis of subarachnoid hemorrhage moved from lumbar ...
متن کاملSubarachnoid hemorrhage diagnosis by computed tomography and lumbar puncture: are fifth generation CT scanners better at identifying subarachnoid hemorrhage?
This study sought to determine the sensitivity and specificity of modern computed tomography (CT) scans for the diagnosis of subarachnoid hemorrhage (SAH). No studies have been done recently with fifth generation CT scanners to look at the diagnosis of SAH. A retrospective chart review was done of Emergency Department (ED), laboratory, and hospital records at Pitt County Memorial Hospital in Gr...
متن کاملCan the combination of a negative computed tomography result and a negative lumbar puncture safely exclude the diagnosis of subarachnoid hemorrhage in patients with thunderclap headache?
CLINICAL QUESTION How many patients who had a negative computed tomography and lumbar puncture result on initial evaluation were diagnosed with subarachnoid hemorrhage in the subsequent 6 months to 3 years? ARTICLE CHOSEN Perry J, Spacek A, Forbes M, et al. Is the combination of negative computed tomography result and negative lumbar puncture result sufficient to rule out subarachnoid hemorrh...
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ورودعنوان ژورنال:
- CJEM
دوره 16 3 شماره
صفحات -
تاریخ انتشار 2014