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Spontaneous Subarachnoid Hemorrhage
It is only in recent years that attention has been called to the fact that spontaneous subarachnoid hemorrhage is a frequent cause of coma. In reviewing the literature in 1924, Dr. C. P. Symonds of Guy's Hospital found that in only eleven cases could the source of hemorrhage be traced to a ruptured aneurysm, but he expressed the view that with more careful dissection at necropsies a much greater number of cases would be found due to this cause. This opinion has been confirmed by later writers. Dr. L. P. E. Laurent, medical registrar of University College Hospital, has found in a series of nine cases, admitted to the hospital and recorded in its magazine that the hemorrhage could be traced to an aneurysm in no fewer than seven cases. It seems to be generally agreed that these aneurysms are congenital; i. e., that they arise at
LONDON. JAMA. 1933;101(12):940-941. doi:10.1001/jama.1933.02740370044020