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August 1937

PROGNOSTIC FACTORS IN SPONTANEOUS SUBARACHNOID HEMORRHAGE

Author Affiliations

NEW YORK

From the neurological service of Dr. Israel Strauss, attending neurologist, the Mount Sinai Hospital.

Arch NeurPsych. 1937;38(2):239-258. doi:10.1001/archneurpsyc.1937.02260200011001

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Abstract

The thesis of this paper is that spontaneous subarachnoid hemorrhage is a syndrome which may occur in a variety of pathologic states and that the prognosis varies with that of the underlying or associated pathologic process.

One hundred and five cases were studied, with an effort to find the incidence of systemic or local disease, cardiorenal vascular disease, acute or chronic infections and blood dyscrasias and also features which might lead one to suspect congenital cerebral aneurysm.

Clinically, the material can be divided roughly into two parts: (1) patients who died and (2) patients who survived. The first group is further subdivided into: (a) those who died on the first admission to the hospital and (b) those who recovered but died subsequently. The second group consists of: (a) those who recovered but were not followed after discharge; (b) those who recovered, had no recurrence and were followed for less than

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