Patients presenting with severe, sudden onset headaches can present a challenge to Emergency Physicians. While most headaches are benign, a minority of them are a symptom of aneurysmal subarachnoid headaches (aSAH);
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Tagged ‘Lumbar Puncture’
Journal Review
False Negative NCHCT in SAH
Filed Under: EM Journal Update Tags: Lumbar Puncture, Neurology, SAH, Subarachnoid Hemorrhage February 16th, 2017 Leave a Comment
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Spinal Epidural Hematoma
Filed Under: Nervous System Tags: Epidural Hematoma, Lumbar Puncture, Neurology, Neurosurgery Leave a Comment
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: EM Journal Update Tags: Lumbar Puncture, SAH, spectrophotometry, Subarachnoid Hemorrhage, xanthochromia March 3rd, 2016 Leave a CommentAlthough 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: EM Journal Update Tags: Aneurysm, LP, Lumbar Puncture, SAH, Subarachnoid Hemorrhage February 4th, 2016 Leave a CommentAcute 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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