Summary
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(1)
Three cases of spontaneous subarachnoid hæemorrhage are described; two cases fatal; one survives in good health.
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(2)
Attention is called to two valuable communications by Magee and Taylor and Whitfield, respectively, since the publication of Symonds’ classical work.
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(3)
The value of an ocular sign previously noted by Doublar and Merew, Hale White and Symonds, which when present is pathognomonic of spontaneous haemorrhage, is stressed. Its ætiology is discussed and its most recent explanation by Ballantyne is given.
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(4)
The possibility of surgical intervention, when the localisation of the aneurysm can be accurately determined either by clinical signs or symptoms or by arteriography, is considered. Surgical intervention, if indicated, may be either by a direct attack on the leaking aneurysm or by ligature of the common and internal carotid arteries on the same side.
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References
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MeConnell, A. A. (1937). Zbt. f. Neurochirurgie, 5/6.
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Symonds, C. (1924).Qrtly. J. Med., 69, 93.
Taylor & Whitfield (1936).Qrtly. J. Med., New Series, 20, 461.
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Parsons, A.R. Spontaneous subarachnoid hÆmorrhage. IJMS 22, 645–653 (1947). https://doi.org/10.1007/BF02937636
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DOI: https://doi.org/10.1007/BF02937636