Sensitivity of Early Brain Computed Tomography to Exclude Aneurysmal Subarachnoid Hemorrhage: A Systematic Review and Meta-Analysis

@article{Dubosh2016SensitivityOE,
  title={Sensitivity of Early Brain Computed Tomography to Exclude Aneurysmal Subarachnoid Hemorrhage: A Systematic Review and Meta-Analysis},
  author={Nicole M. Dubosh and M. Bellolio and A. Rabinstein and J. Edlow},
  journal={Stroke},
  year={2016},
  volume={47},
  pages={750–755}
}
  • Nicole M. Dubosh, M. Bellolio, +1 author J. Edlow
  • Published 2016
  • Medicine
  • Stroke
  • Background and Purpose— Emerging evidence demonstrating the high sensitivity of early brain computed tomography (CT) brings into question the necessity of always performing lumbar puncture after a negative CT in the diagnosis of spontaneous subarachnoid hemorrhage (SAH). Our objective was to determine the sensitivity of brain CT using modern scanners (16-slice technology or greater) when performed within 6 hours of headache onset to exclude SAH in neurologically intact patients. Methods— After… CONTINUE READING
    45 Citations
    Acute Headache in the Emergency Department: Is Lumbar Puncture Still Necessary to Rule Out Subarachnoid Hemorrhage?
    • 1
    Excluding subarachnoid haemorrhage within 24 hours: to LP or not to LP?
    CT-Negative Subarachnoid Hemorrhage in the First Six Hours.
    Imaging in Neurocritical Care Practice
    • 6
    • PDF
    Outcomes Following Possible Undiagnosed Aneurysmal Subarachnoid Hemorrhage: A Contemporary Analysis
    • 2
    • PDF
    Subarachnoid Hemorrhage: Updates in Diagnosis and Management.
    • 24

    References

    SHOWING 1-10 OF 43 REFERENCES
    Subarachnoid hemorrhage diagnosis: lumbar puncture is still needed when the computed tomography scan is normal.
    • 134
    Nontraumatic subarachnoid hemorrhage in the setting of negative cranial computed tomography results: external validation of a clinical and imaging prediction rule.
    • 44
    • PDF
    Appreciation of CT-negative, lumbar puncture-positive subarachnoid haemorrhage: risk factors for presence of aneurysms and diagnostic yield of imaging
    • 12
    Detection of subarachnoid haemorrhage on early CT: is lumbar puncture still needed after a negative scan?
    • 290
    • PDF
    Sensitivity of computed tomography performed within six hours of onset of headache for diagnosis of subarachnoid haemorrhage: prospective cohort study
    • 234
    • Highly Influential
    • PDF