What are the unintended consequences of changing the diagnostic paradigm for subarachnoid hemorrhage after brain computed tomography to computed tomographic angiography in place of lumbar puncture?

Academic Emergency Medicine

Volumn 17, Issue 9, 2010, Pages 991-995

  Edlow, Jonathan A ^a  

^a HARVARD MEDICAL SCHOOL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

D DIMER;

ABDOMINAL PAIN; ACUTE CORONARY SYNDROME; BRAIN ARTERY ANEURYSM; BRAIN ISCHEMIA; BRAIN PSEUDOTUMOR; CANCER RISK; CEREBROSPINAL FLUID; COMPUTED TOMOGRAPHIC ANGIOGRAPHY; COMPUTER ASSISTED TOMOGRAPHY; DIAGNOSTIC ERROR; DIFFERENTIAL DIAGNOSIS; EMERGENCY PHYSICIAN; HEADACHE; HIGH RISK POPULATION; HUMAN; HYDROCEPHALUS; INTRACRANIAL HYPOTENSION; KIDNEY POLYCYSTIC DISEASE; LUMBAR PUNCTURE; LUNG EMBOLISM; MATHEMATICAL MODEL; MEDICAL PRACTICE; MENINGITIS; NEUROIMAGING; OCCLUSIVE CEREBROVASCULAR DISEASE; PHLEBOGRAPHY; PRIORITY JOURNAL; REVIEW; STROKE; SUBARACHNOID HEMORRHAGE; THUNDERCLAP HEADACHE;

ALGORITHMS; ANGIOGRAPHY, DIGITAL SUBTRACTION; CEREBRAL ANGIOGRAPHY; DIAGNOSIS, DIFFERENTIAL; DIAGNOSTIC ERRORS; HEADACHE; HUMANS; SPINAL PUNCTURE; SUBARACHNOID HEMORRHAGE; TOMOGRAPHY, X-RAY COMPUTED;

EID: 78349238897     PISSN: 10696563     EISSN: 15532712     Source Type: Journal    
DOI: 10.1111/j.1553-2712.2010.00840.x     Document Type: Review

References (42)

1. Edlow JA,. Diagnosis of subarachnoid hemorrhage - are we doing better? Stroke. 2007; 38: 1129 - 31.
2. Edlow JA, Caplan LR,. Avoiding pitfalls in the diagnosis of subarachnoid hemorrhage. N Engl J Med. 2000; 342: 29 - 36.
3. Edlow JA, Malek AM, Ogilvy CS,. Aneurysmal subarachnoid hemorrhage: update for emergency physicians. J Emerg Med. 2008; 34: 237 - 51.
4. Vermeulen MJ, Schull MJ,. Missed diagnosis of subarachnoid hemorrhage in the emergency department. Stroke. 2007; 38: 1216 - 21.
5. Johansson A, Lagerstedt K, Asplund K,. Mishaps in the management of stroke: a review of 214 complaints to a medical responsibility board. Cerebrovasc Dis. 2004; 18: 16 - 21.
6. Edlow JA, Panagos PD, Godwin SA, Thomas TL, Decker WW,. Clinical policy: critical issues in the evaluation and management of adult patients presenting to the emergency department with acute headache. Ann Emerg Med. 2008; 52: 407 - 36.
7. Bederson JB, Connolly ES Jr, Batjer HH, et al., Guidelines for the management of aneurysmal subarachnoid hemorrhage: a statement for healthcare professionals from a special writing group of the Stroke Council, American Heart Association. Stroke. 2009; 40: 994 - 1025.
8. McCormack RF, Hutson A,. Can computed tomography angiography of the brain replace lumbar puncture in the evaluation of acute-onset headache after a negative noncontrast cranial computed tomography scan? Acad Emerg Med. 2010; 17: 444 - 51.
9. Byyny RL, Mower WR, Shum N, Gabayan GZ, Fang S, Baraff LJ,. Sensitivity of noncontrast cranial computed tomography for the emergency department diagnosis of subarachnoid hemorrhage. Ann Emerg Med. 2008; 51: 697 - 703.
10. Cortnum S, Sorensen P, Jorgensen J,. Determining the sensitivity of computed tomography scanning in early detection of subarachnoid hemorrhage. Neurosurgery. 2010; 66: 900 - 902.
11. Schwedt TJ, Matharu MS, Dodick DW,. Thunderclap headache. Lancet Neurol. 2006; 5: 621 - 31.
12. Dhopesh V, Anwar R, Herring C,. A retrospective assessment of emergency department patients with complaint of headache. Headache. 1979; 19: 37 - 42.
13. Leicht MJ,. Non-traumatic headache in the emergency department. Ann Emerg Med. 1980; 9: 404 - 9.
14. Ramirez-Lassepas M, Espinosa CE, Cicero JJ, Johnston KL, Cipolle RJ, Barber DL,. Predictors of intracranial pathologic findings in patients who seek emergency care because of headache. Arch Neurol. 1997; 54: 1506 - 9.
15. Goldstein NM, Kollef MH, Ward S, Gage BF,. The impact of the introduction of a rapid D-dimer assay on the diagnostic evaluation of suspected pulmonary embolism. Arch Intern Med. 2001; 161: 567 - 71.
16. Flum DR, Morris A, Koepsell T, Dellinger EP,. Has misdiagnosis of appendicitis decreased over time? A population-based analysis. JAMA. 2001; 286: 1748 - 53.
17. Wermer MJ, Van Der Schaaf IC, Algra A, Rinkel GJ,. Risk of rupture of unruptured intracranial aneurysms in relation to patient and aneurysm characteristics: an updated meta-analysis. Stroke. 2007; 38: 1404 - 10.
18. Friedman JA, Piepgras DG, Pichelmann MA, Hansen KK, Brown RD Jr, Wiebers DO,. Small cerebral aneurysms presenting with symptoms other than rupture. Neurology. 2001; 57: 1212 - 6.
19. Raps EC, Rogers JD, Galetta SL, et al., The clinical spectrum of unruptured intracranial aneurysm. Arch Neurol. 1993; 50: 265 - 8.
20. McCarron MO, Choudhari KA,. Aneurysmal subarachnoid leak with normal CT and CSF spectrophotometry. Neurology. 2005; 64: 923.
21. Witham TF, Kaufmann AM,. Unruptured cerebral aneurysm producing a thunderclap headache. Am J Emerg Med. 2000; 18: 88 - 90.
22. Abbot RJ, Van Hille P,. Thunderclap headache and unruptured aneurysm. Lancet. 1986; ii:1459.
23. Harling DW, Peatfield RC, Van Hille PT, Abbot RJ,. Thunderclap headache: is it migraine? Cephalgia. 1989; 9: 87 - 90.
24. Landtblom AM, Fridriksson S, Boivie J, Hillman J, Johansson G, Johansson I,. Sudden onset headache: a prospective study of features, incidence and causes. Cephalalgia. 2002; 22: 354 - 60.
25. Linn FH, Wijdicks EF, Van Der Graaf Y, Weerdesteyn-van Vliet FA, Bartelds AI, Van Gijn J,. Prospective study of sentinel headache in aneurysmal subarachnoid haemorrhage. Lancet. 1994; 344: 590 - 3.
26. Perry JJ, Spacek A, Forbes M, et al., Is the combination of negative computed tomography result and negative lumbar puncture result sufficient to rule out subarachnoid hemorrhage? Ann Emerg Med. 2008; 51: 707 - 13.
27. Wijdicks EFM, Kerkhoff H, VanGijn J,. Long-term follow-up of 71 patients with thunderclap headache mimicking subarachnoid hemorrhage. Lancet. 1988; ii: 68 - 9.
28. Duffy GP,. The "warning leak" in spontaneous subarachnoid haemorrhage. Med J Aust. 1983; 1: 514 - 6.
29. Savitz SI, Levitan EB, Wears R, Edlow JA,. Pooled analysis of patients with thunderclap headache evaluated by CT and LP: is angiography necessary in patients with negative evaluations? J Neurol Sci. 2009; 276: 123 - 5.
30. Bederson JB, Awad IA, Wiebers DO, et al., Recommendations for the management of patients with unruptured intracranial aneurysms: a statement for healthcare professionals from the Stroke Council of the American Heart Association. Circulation. 2000; 102: 2300 - 8.
31. Carstairs SD, Tanen DA, Duncan TD, et al., Computed tomographic angiography for the evaluation of aneurysmal subarachnoid hemorrhage. Acad Emerg Med. 2006; 13: 486 - 92.
32. Komotar RJ, Zacharia BE, Mocco J, Connolly ES, Jr,. Controversies in the surgical treatment of ruptured intracranial aneurysms: the First Annual J. Lawrence Pool Memorial Research Symposium-controversies in the management of cerebral aneurysms. Neurosurgery. 2008; 62: 396 - 407.
33. Weir B,. Unruptured intracranial aneurysms: a review. J Neurosurg. 2002; 96: 3 - 42.
34. Otawara Y, Ogasawara K, Kubo Y, et al., Anxiety before and after surgical repair in patients with asymptomatic unruptured intracranial aneurysm. Surg Neurol. 2004; 62: 28 - 31.
35. Rinkel GJ,. Intracranial aneurysm screening: indications and advice for practice. Lancet Neurol. 2005; 4: 122 - 8.
36. Berrington de Gonzalez A, Mahesh M, Kim KP, et al., Projected cancer risks from computed tomographic scans performed in the United States in 2007. Arch Intern Med. 2009; 169: 2071 - 7.
37. Goldstein JN, Camargo CA Jr, Pelletier AJ, Edlow JA,. Headache in United States Emergency Departments: demographics, work-up and frequency of pathological diagnoses. Cephalalgia. 2006; 26: 684 - 90.
38. Agid R, Andersson T, Almqvist H, et al., Negative CT angiography findings in patients with spontaneous subarachnoid hemorrhage: When is digital subtraction angiography still needed? AJNR Am J Neuroradiol. 2010; 31: 696 - 705.
39. Savitz SI, Edlow J,. Thunderclap headache with normal CT and lumbar puncture: further investigations are unnecessary: for. Stroke. 2008; 39: 1392 - 3.
40. Hall WB, Truitt SG, Scheunemann LP, et al., The prevalence of clinically relevant incidental findings on chest computed tomographic angiograms ordered to diagnose pulmonary embolism. Arch Intern Med. 2009; 169: 1961 - 5.
41. Burt JR, Iribarren C, Fair JM, et al., Incidental findings on cardiac multidetector row computed tomography among healthy older adults: prevalence and clinical correlates. Arch Intern Med. 2008; 168: 756 - 61.
42. Iribarren C, Hlatky MA, Chandra M, et al., Incidental pulmonary nodules on cardiac computed tomography: prognosis and use. Am J Med. 2008; 121: 989 - 96.