High pretest probability of meningitis requires lumbar puncture regardless of the finding of jolt accentuation of headache

Affiliations

¹ Department of Emergency Rescue, Tokyo Metropolitan Tama Medical Center, Tokyo, Japan. Electronic address: tamune-tky@umin.ac.jp.
² Department of Internal Medicine, Tokyo Metropolitan Tama Medical Center, Tokyo, Japan.

Comment

Hidetaka Tamune et al. Am J Emerg Med. 2014 May.

. 2014 May;32(5):477-8.

doi: 10.1016/j.ajem.2014.01.047. Epub 2014 Feb 4.

¹ Department of Emergency Rescue, Tokyo Metropolitan Tama Medical Center, Tokyo, Japan. Electronic address: tamune-tky@umin.ac.jp.
² Department of Internal Medicine, Tokyo Metropolitan Tama Medical Center, Tokyo, Japan.

No abstract available

Comment on

Absence of jolt accentuation of headache cannot accurately rule out meningitis in adults.
Tamune H, Takeya H, Suzuki W, Tagashira Y, Kuki T, Nakamura M. Tamune H, et al. Am J Emerg Med. 2013 Nov;31(11):1601-4. doi: 10.1016/j.ajem.2013.08.028. Epub 2013 Sep 23. Am J Emerg Med. 2013. PMID: 24070978
Different outcomes from different cohorts: how to validate jolt accentuation?
Uchihara T. Uchihara T. Am J Emerg Med. 2014 May;32(5):476-7. doi: 10.1016/j.ajem.2014.01.052. Epub 2014 Feb 4. Am J Emerg Med. 2014. PMID: 24655602 No abstract available.