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. 2015 Oct 20;16(5):671–676. doi: 10.5811/westjem.2015.7.25894

Table 2.

Imaging and laboratory details for the seven false negative cranial computed tomography studies.

Age CT scanner CT slice thickness CSF RBCs/microliter** Xanthochromia Angiography results
≥90 unavailable 5mm 280000 Yes 5mm ACOM aneurysm
76 GE lightspeed VCT (64 slice) 5mm 517500 No 4mm right PCOM aneurysm
67 GE lightspeed VCT (64 slice) 5mm 408000 No 6mm left PCOM aneurysm
45 GE lightspeed VCT (64 slice) 5 mm 190000 No 4mm left ICA aneurysm
53 GE lightspeed Pro 16 (16 slice) 5mm 49750 No 2mm right PCOM aneurysm
50 GE lightspeed VCT (64 slice) 1.25mm 9960 No 10mm ACOM aneurysm
70 GE lightspeed VCT (64 slice) 5mm 55000 Yes 2mm right vertebral artery

Seven patients presenting with aneurysmal SAH had cranial CT studies performed within six hours of headache onset that were initially reported as negative for evidence of subarachnoid hemorrhage. Diagnosis of SAH was made by lumbar puncture in each case. Details of the CT technology used as well as the results of diagnostic lumbar punctures and formal cerebral angiography are presented for each case.

**

CSF RBC counts were the lowest values reported in cases where multiple tubes were analyzed.

GE, General Electric; VCT, volume computed tomography; CT, computed tomography; ACOM, anterior communicating artery; CSF, cerebrospinal fluid; RBC, red blood cell; ICA, internal carotid artery; PCOM, posterior communicating artery; SAH, subarachnoid hemorrhage