Subarachnoid hemorrhage other diagnostic studies: Difference between revisions
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==Overview== | ==Overview== | ||
Other diagnostic studies for subarachnoid hemorrhage include spinal angiography and surgical exploration. <ref name="pmid8587690">{{cite journal| author=Tatter SB, Crowell RM, Ogilvy CS| title=Aneurysmal and microaneurysmal "angiogram-negative" subarachnoid hemorrhage. | journal=Neurosurgery | year= 1995 | volume= 37 | issue= 1 | pages= 48-55 | pmid=8587690 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8587690 }} </ref><ref name="pmid9817413">{{cite journal| author=Kinouchi H, Mizoi K, Takahashi A, Nagamine Y, Koshu K, Yoshimoto T| title=Dural arteriovenous shunts at the craniocervical junction. | journal=J Neurosurg | year= 1998 | volume= 89 | issue= 5 | pages= 755-61 | pmid=9817413 | doi=10.3171/jns.1998.89.5.0755 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9817413 }} </ref> | |||
==Other diagnostic studies== | ==Other diagnostic studies== | ||
===Surgical exploration=== | |||
Surgical exploration is not a routine diagnostic evaluation. However, It is the best diagnostic aspect in diagnosis of ruptured aneurysm and it has a diagnostic value even after two or more negative angiograms.<ref name="pmid8587690">{{cite journal| author=Tatter SB, Crowell RM, Ogilvy CS| title=Aneurysmal and microaneurysmal "angiogram-negative" subarachnoid hemorrhage. | journal=Neurosurgery | year= 1995 | volume= 37 | issue= 1 | pages= 48-55 | pmid=8587690 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8587690 }} </ref><ref name="pmid3200381">{{cite journal| author=Di Lorenzo N, Guidetti G| title=Anterior communicating aneurysm missed at angiography: report of two cases treated surgically. | journal=Neurosurgery | year= 1988 | volume= 23 | issue= 4 | pages= 494-9 | pmid=3200381 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=3200381 }} </ref> | |||
===Spinal angiography=== | |||
Spinal angiography also should be considered in patient with SAH especially after:<ref name="pmid9817413">{{cite journal| author=Kinouchi H, Mizoi K, Takahashi A, Nagamine Y, Koshu K, Yoshimoto T| title=Dural arteriovenous shunts at the craniocervical junction. | journal=J Neurosurg | year= 1998 | volume= 89 | issue= 5 | pages= 755-61 | pmid=9817413 | doi=10.3171/jns.1998.89.5.0755 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9817413 }} </ref><ref name="pmid17401739">{{cite journal| author=van Beijnum J, Straver DC, Rinkel GJ, Klijn CJ| title=Spinal arteriovenous shunts presenting as intracranial subarachnoid haemorrhage. | journal=J Neurol | year= 2007 | volume= 254 | issue= 8 | pages= 1044-51 | pmid=17401739 | doi=10.1007/s00415-006-0485-4 | pmc=2779417 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17401739 }} </ref> | |||
*A clinical suspicion for a spinal vascular anomaly (prominent back/neck pain and radicular on examination) | |||
*Presence of abnormal finding on other neuroimaging studies | |||
==References== | ==References== | ||
Latest revision as of 13:27, 13 December 2016
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Subarachnoid Hemorrhage Microchapters |
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Diagnosis |
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Treatment |
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AHA/ASA Guidelines for the Management of Aneurysmal Subarachnoid Hemorrhage (2012)
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Case Studies |
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Subarachnoid hemorrhage other diagnostic studies On the Web |
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Risk calculators and risk factors for Subarachnoid hemorrhage other diagnostic studies |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sara Mehrsefat, M.D. [2]
Overview
Other diagnostic studies for subarachnoid hemorrhage include spinal angiography and surgical exploration. [1][2]
Other diagnostic studies
Surgical exploration
Surgical exploration is not a routine diagnostic evaluation. However, It is the best diagnostic aspect in diagnosis of ruptured aneurysm and it has a diagnostic value even after two or more negative angiograms.[1][3]
Spinal angiography
Spinal angiography also should be considered in patient with SAH especially after:[2][4]
- A clinical suspicion for a spinal vascular anomaly (prominent back/neck pain and radicular on examination)
- Presence of abnormal finding on other neuroimaging studies
References
- ↑ 1.0 1.1 Tatter SB, Crowell RM, Ogilvy CS (1995). "Aneurysmal and microaneurysmal "angiogram-negative" subarachnoid hemorrhage". Neurosurgery. 37 (1): 48–55. PMID 8587690.
- ↑ 2.0 2.1 Kinouchi H, Mizoi K, Takahashi A, Nagamine Y, Koshu K, Yoshimoto T (1998). "Dural arteriovenous shunts at the craniocervical junction". J Neurosurg. 89 (5): 755–61. doi:10.3171/jns.1998.89.5.0755. PMID 9817413.
- ↑ Di Lorenzo N, Guidetti G (1988). "Anterior communicating aneurysm missed at angiography: report of two cases treated surgically". Neurosurgery. 23 (4): 494–9. PMID 3200381.
- ↑ van Beijnum J, Straver DC, Rinkel GJ, Klijn CJ (2007). "Spinal arteriovenous shunts presenting as intracranial subarachnoid haemorrhage". J Neurol. 254 (8): 1044–51. doi:10.1007/s00415-006-0485-4. PMC 2779417. PMID 17401739.