The subjects of intracranial aneurysm with rupture producing subarachnoid hemorrhage and of ipsilateral cerebral signs produced by an intracranial mass lesion have separately been well represented in the literature. The occurrence of ipsilateral cerebral signs resulting from a ruptured aneurysm of the left anterior cerebral artery, with additional pathologic data, is sufficiently unique, we feel, to justify recording of the case.
REPORT OF A CASE
History.
—J. D., a man aged 54, was admitted to the Doctors Hospital on Dec. 23, 1940, to the service of one of us (A. A. B.).For five months prior to admission he had been suffering from severe periodic frontal headaches. There had been a personality change characterized by periods of depression, indifference and emotional instability. For several weeks his wife noted that he walked with a dragging, shifting gait, so that she asked him to "lift his feet." During the two weeks prior