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August 1948

CEREBRAL VASCULAR LESIONS: Electroencephalographic and Neuropathologic Correlations

Author Affiliations


From the United States Naval Hospital, National Naval Medical Center, Bethesda, Md., and St. Elizabeths Hospital, Washington, D. C.

Arch NeurPsych. 1948;60(2):165-181. doi:10.1001/archneurpsyc.1948.02310020061005

DESPITE the obvious importance of cerebral vascular lesions in the practice of clinical neurology, few systematic electroencephalographic studies have been made on this subject. Several authors have presented single case reports with electroencephalographic correlations.1 Some have even communicated short series of cases of both chronic subdural hematoma2 and relatively acute subarachnoid hemorrhage.3

This presentation is the result of the compilation of data obtained from 130 patients showing disturbances of clinical and electrical function of the brain resulting from lesions of the cerebral vessels. Eighteen patients showed clinical evidence of subarachnoid hemorrhage. Eight patients had proved chronic subdural hematomas; 6 of these had preoperative recordings. The other 104 patients of this series showed clinical signs of thrombosis, embolism or hemorrhage involving the cerebral vessels, with subsequent parenchymatous damage. Of these 104 patients, 12 died, and the brains of 11 of these patients were subjected to a detailed gross

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