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Featured in Journal Watch: Sorry, You Can't Stop Doing Lumbar Punctures to Rule Out Subarachnoid Hemorrhage
By The Journal Watch Editors
A clinical decision rule performed well, but CT within 6 hours of headache onset missed 20% of cases, according to a study from the Annals of Emergency Medicine.
Daniel J. Pallin comments that "this study shows that neither history and physical examination nor CT can rule out subarachnoid hemorrhage." His conclusion? "We should continue to recommend lumbar puncture when ruling out [hemorrhage] in a patient with a negative CT result."
Published in Physician's First Watch February 19, 2013
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