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Clearing of Red Blood Cells in Lumbar Puncture Does Not Rule Out Ruptured Aneurysm in Patients with Suspected Subarachnoid Hemorrhage but Negative Head CT Findings AJNR 26:820-824, Heasley,D.C.,et al, 2005 See this aricle in Pubmed Article Abstract A 25% reduction in RBC concentration between the first and fourth tubes of CSF in patients with suspected SAH but negative CT findings occurs even in cases of ruptured aneurysms. Formal evaluation for the presence of an aneurysm is still necessary in this scenario.

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