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Departments of Neurology (Dr. van Gijn) and Radiology (Dr. van Dongen), University Hospital Rotterdam (Dijkzigt), the Netherlands.
Fifty patients with spontaneous subarachnoid hemorrhage were investigated by both computerized tomography (CT), within 5 days of onset, and complete cerebral angiography. CT showed blood in the basal cisterns in 38 of the 42 patients with a demonstrable aneurysm, but in only 1 of 8 patients with a negative angiogram (p < 0.001). This means that: (1) blood in the basal cisterns on CT almost certainly indicates a ruptured aneurysm, and (2) unexplained subarachnoid hemorrhages are unlikely to be caused by occult basal aneurysms.
Address correspondence and reprint requests to Dr. van Gijn, Department of Neurology, Dijkzigt, Dr. Molewaterplein 40, 3015 GD Rotterdam, the Netherlands.
Accepted for publication August 22, 1979
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