Early computed tomography (CT) is very useful in detecting subarachnoid haemorrhage (SAH). It offers a lot of information about the origin, the extent of the haemorrhage and the early complications (hydrocephalus, haematoma).
Moreover, CT scan can suggest the site of bleeding aneurysm and the risk of severe vasospasm.
In some cases, CT shows a perimesencephalic SAH in which often no aneurysm can be detected.
The sensitivity of CT in demonstrating SAH decreases as the time between onset of SAH and CT scanning increases.
AdamsHPKassellNFCT and clinical correlations in recent aneurysmal subarachnoid haemorrhage: a preliminary report of the cooperative aneurysm study. Neurology33: 981–988, 1983.
2.
BartonETudorJ: Subdural haematoma in association with intracranial aneurysm. Neuroradiology23: 157–160, 1982.
3.
BradačGBBerguiM: False-negative angiograms in subarachnoid haemorrhage due to intracranial aneurysms. Neuroradiology39: 772–776, 1997.
4.
EdlowJACaplanLR: Avoiding pitfalls in the diagnosis of subarachnoid haemorrhage. N E J Med342: 29–36, 2000.
5.
FischerCMKistlerJPDavisJM: Relation of cerebral vasospasm to subarachnoid haemorrhage visualized by computerized tomographic scanning. Neurosurgery6: 1–9, 1980.
6.
HinoAFujimotoM: False localization of rupture site in patients with multiple cerebral aneurysms and subarachnoid haemorrhage. Neurosurgery46: 825–830, 2000.
7.
HopJWBrilstraEHRinkelGJE: Transient amnesia after perimesencephalic haemorrhage: the role of enlarged temporal horns. J Neurol Neurosurg Psychiatry65: 590–593, 1998.
8.
HosoyaTYamaguchiK: Dilatation of the temporal horn in subarachnoid haemorrhage. Neuroradiology34: 207–209, 1992.
9.
KasselNFTornerJC: The international cooperative study on the timing of aneurysm surgery. Part 1: overall management results. J Neurosurg73: 18–36, 1990.
10.
KendallBELeeBCPClaveriaE: Computerized tomography and angiography in subarachnoid haemorrhage. BR J Radiol49: 483–501, 1986.
11.
LeeKCJooJYLeeKS: False localization of rupture by computed tomography in bilateral internal carotid artery aneurysms. Surg Neurol45: 435–441, 1996.
12.
MorgensternLBLuna-GonzalesH: Headache and subarachnoid haemorrhage: prospective, modern computed tomography and spinal fluid analysis. Ann Emerg Med32: 297–304, 1998.
13.
NaidichTPEpsteinF: Evaluation of pediatric hydrocephalus by computed tomography. Radiology119: 337–345, 1976.
14.
NoguchiKSetoH: Comparison of fluid-attenuated inversion recovery MR imaging with CT in a simulated model of acute subarachnoid haemorrhage. Am J Neuroradiol21: 923–927, 2000.
15.
OgawaTInugamiA: MR diagnosis of subacute and subarachnoid haemorrhage: comparison with CT. Am J Radiol165: 1257–1262, 1995.
16.
RinkelGJEvan GijnJWijdicksEFM: Subarachnoid haemorrhage without detectable aneurysm. A review of the causes. Stroke24: 1403–1409, 1993.
17.
SchievinkWIWijdicksEFM: Pretruncal subarachnoid haemorrhage: an anatomically correct term for perimesencephalic haemorrhage. Stroke28: 2572, 1997.
18.
SchievinkWI: Intracranial aneurysm. N Engl J Med336: 28–40, 1997.
19.
SchrigerDKalafutM: Cranial computed tomography in acute stroke physicians'accuracy in determining eligibility for thrombolytic therapy. JAMA279: 1293–1297, 1998.
SmithWPBatnitzkySRengacharySS: Acute isosdense subdural haematoma in anemic patients. Am J Radiol136: 543–546, 1981.
22.
Van der WeeNRinkelGJ: Detection of subarachnoid haemorrhage on early CT: is lumbar puncture still needed after a negative scan?J Neurol Neurosurg Psychiatry58: 357–359, 1995.
23.
Van GijnJvan DongenKJ: The time course of aneurysmal haemorrhage on computed tomograms. Neuroradiology23: 153–156, 1982.
24.
Van GijnJvan DongenKJ: Perimesecephalic haemorrhage: a nonaneurysmal and benign form of subarachnoid haemorrhage. Neurology35: 493–497, 1985.
25.
VermeulenMGijnVan: The diagnosis of subarachnoid haemorrhage. J Neurol Neurosurg and Psychiatry53: 365–372, 1990.
26.
WijdicksEFMSchievinkWI: Perimesencephalic nonaneurysmal subarachnoid haemorrhage: first hint of a cause?Neurology49: 634–636, 1997.
27.
WijdicksEFMSchievnikWIMillerGM: MR imaging in pretruncal nonaneurysmal subarachnoid haemorrhage. Is it worthwhile?Stroke29: 2514–2516, 1998.