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Previous Volume 342:1454-1456 May 11, 2000 Number 19 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: Edlow and Caplan (Jan. 6 issue)¹ present an excellent review of the pitfalls encountered in the diagnosis of subarachnoid hemorrhage. However, after stating that the initial diagnostic study should be noncontrast computed tomography (CT) of the head, the authors suggest that lumbar puncture might be an acceptable initial diagnostic procedure in patients with normal findings on physical examination. We recommend continuing the practice of obtaining a CT scan in all cases of suspected subarachnoid hemorrhage, before performing a lumbar puncture, regardless of the findings on the neurologic examination. A CT scan showing the presence of subarachnoid blood . . . [Full Text of this Article]

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