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Correspondence
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Volume 336:1758-1759 June 12, 1997 Number 24
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Intracranial Aneurysms

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 by Schievink, W. I.
To the Editor: Dr. Schievink (Jan. 2 issue)1 provides an authoritative review of recent developments in the field of intracranial aneurysms. In view of the high case fatality rate associated with aneurysmal bleeding, it is crucial not to miss the diagnosis. The author underlines the importance of cerebrospinal fluid examination for xanthochromia if there is a clinical suspicion of subarachnoid bleeding but the computed tomographic scan does not reveal it. From the third week after the bleeding, xanthochromia may not be detectable even by spectrophotometry. Vermeulen et al.2 have estimated that the sensitivity of spectrophotometry for xanthochromia is 70 percent . . . [Full Text of this Article]

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