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February 8, 1941


Author Affiliations

New York
From the Beekman Street Hospital.

JAMA. 1941;116(6):498. doi:10.1001/jama.1941.62820060001010

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At one of the clinical conferences at the Beekman Street Hospital an intern unwittingly provided the stimulus for this paper, stating that he had never seen a patient recover who had a cerebral hemorrhage associated with a hemorrhagic or bloody spinal fluid. This started the ball rolling. Every one had a foggy prognostic idea but no one was sufficiently wise to settle the question. A search of the literature for the last ten years, as well as a review of the standard textbooks of pathology and neurology, failed to provide the answer. If the subject was touched on at all, a single statement that this was a poor sign was the sole conclusion—how poor a sign was never stated. The original articles in the literature safely attacked the problem from hindsight, analyzing autopsy material. Such studies disclosed that in cases coming to autopsy cerebral hemorrhages had a shorter existence when

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