E-008 imaging workup for angiographically negative subarachnoid hemorrhage: how much is life worth?

ConclusionAlready, the cost effectiveness of routine cervical imaging in angiographically negative subarachnoid hemorrhage is often debated due to low yield; the causative lesions in these three patients would not have been identified using standard imaging protocols and were only discovered after imaging of the lower thoracic and lumbar spine. While the cost effectiveness of routine imaging of the spine in these patients is debatable, these cases show that thoraco-lumbar arteriovenous malformations can rarely present with headache and subarachnoid hemorrhage, and judicious use of whole spine imaging should be considered in these patients.DisclosuresR. Cerejo: None. M. Grabowski: None. S. John: None. A. Bauer: None. B. Chaudhry: None. M. Bain: None. G. Toth: None. F. Hui: None.

Source: Journal of NeuroInterventional Surgery - July 26, 2015 Category: Neurosurgery Authors: Cerejo, R., Grabowski, M., John, S., Bauer, A., Chaudhry, B., Bain, M., Toth, G., Hui, F. Tags: SNIS 12th Annual Meeting Electronic Poster Abstracts Source Type: research