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Cause of Death in Ruptured Intracranial Aneurysms

AMA Arch Intern Med. 1957;99(5):771-790. doi:10.1001/archinte.1957.00260050099012.
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Introduction  The study of intracranial aneurysms has come a long way in the 33 years since Sir Charles Symonds brought together our knowledge of the subject in 1923.1,2 The relationship between subarachnoid hemorrhage and rupture of aneurysms has been established,3-6 statistics have been gathered on the frequency of aneurysms on various parts of the circle of Willis and arterial supply of the brain,7 diagnostic procedures are well worked out,8-10 the efficacy of various surgical treatments are being compared,11-15 and the relative value of surgical versus conservative therapy is being determined, although the latter point is by no means settled.16-22 Clinical syndromes associated with aneurysms in various locations are being elucidated, as far as this is possible.23,24,36However, there are relatively few studies on the actual consequences of the rupture of the aneurysm in fatal cases. Recently Robertson26 has reviewed the pathologic findings in 97 ruptured aneurysms,12 of which


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