Do we still need spinal tap following a negative CT in worst headache of life?
It’s deeply rooted medical dogma that spinal tap needs to follow a negative CT when evaluating patients for subarachnoid hemorrhage. New literature has come out to challenge that idea.
We talk with Scott Weingart of emcrit.org and Ryan Radecki of Emergency Medicine Literature of Note about a 2011 BMJ paper that looks at the sensitivity of computed tomography when performed within 6 hours of headache onset.
Keeping with the neurology theme, what’s the story with awake blunt trauma patients with a negative cervical spine CT who still have neck pain…do they need an MRI?