Tagged ‘Lumbar Puncture’

Journal Review

False Negative NCHCT in SAH

Filed Under: Tags: , , , February 16th, 2017 Leave a Comment

Patients presenting with severe, sudden onset headaches can present a challenge to Emergency Physicians. While most headaches are benign, a minority of them areĀ  a symptom of aneurysmal subarachnoid headaches (aSAH);
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Core

Spinal Epidural Hematoma

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This post discusses the rare spinal epidural hematoma focusing on presentation and diagnosis.
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Journal Review

Spectrophotometry or Visual Inspection for Xanthochromia

Filed Under: Tags: , , , , March 3rd, 2016 Leave a Comment

Although non-contrast head CT (NCHCT) has near perfect sensitivity (98-100%) in detecting aneurysmal subarachnoid hemorrhage (SAH) when performed within 6 hours of headache onset, sensitivity declines after 6 hours. As a result of declining sensitivity,
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Journal Review

Lumbar Puncture After Normal NCHCT in Suspected Subarachnoid Hemorrhage

Filed Under: Tags: , , , , February 4th, 2016 Leave a Comment

Acute headache is a common emergency department presentation that accounts for 1-2% of all encounters (Goldstein 2006) The differential includes many life-threatening diagnoses, one of which is aneurysmal subarachnoid hemorrhage (SAH).
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