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August 1939


Author Affiliations

Neurologist to Brown University and Rhode Island Hospital; Research Associate PROVIDENCE, R. I.

Arch NeurPsych. 1939;42(2):298-328. doi:10.1001/archneurpsyc.1939.02270200118011

Intracranial aneurysm is an old subject with renewed interest to physicians and surgeons. The literature is extensive. From 407 articles published before Jan. 1, 1938 we have assembled 1,125 cases of saccular aneurysm of the arteries at the base of the brain verified by autopsy or operation. Among the authors of these articles are many of the great names of medicine. The literature dates from 1761, when Morgagni, of Padua, described dilatations of the posterior branches of both carotid arteries. Ruptured intracranial aneurysm was first reported in 1778 by Biumi, of Milan, who gave a clear clinical description of the disease now called "spontaneous subarachnoid hemorrhage" and described the ruptured aneurysm observed at autopsy. The next significant contribution was made by Gull, of Guy's Hospital, in 1859. In a modern scientific article he reviewed the literature and reported 6 cases with clinical and postmortem observations. From this study he concluded:

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