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About 30% of patients with SAH are misdiagnosed at first. If subarachnoid hemorrhage is suspected, a computed tomography (CT) scan (without dye contrast) of the head should be immediately performed. In some cases, the head CT scan may be normal, especially if there has only been a small bleed. If the CT scan is normal, a lumbar puncture (spinal tap ) must be performed. Patients with SAH will have blood in their spinal fluid.
Cerebral angiography of blood vessels of the brain may show small aneurysms or other vascular problems. This test can pinpoint the exact location of the bleed.
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