Is lumbar puncture still needed in suspected subarachnoid hemorrhage after a negative head computed tomographic scan?
- PMID: 24852586
- DOI: 10.2310/8000.2013.130967
Is lumbar puncture still needed in suspected subarachnoid hemorrhage after a negative head computed tomographic scan?
Abstract
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.
Comment on
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Sensitivity of computed tomography performed within six hours of onset of headache for diagnosis of subarachnoid haemorrhage: prospective cohort study.BMJ. 2011 Jul 18;343:d4277. doi: 10.1136/bmj.d4277. BMJ. 2011. PMID: 21768192 Free PMC article.