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November 13, 1967

Cerebral Aneurysm Rupture With Survival

Author Affiliations

Springfield, Mo

JAMA. 1967;202(7):666. doi:10.1001/jama.1967.03130200152045

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To the Editor:—  Pertaining to subarachnoid hemorrhage during anticoagulant therapy with survival, as reported by Finney and Gholston (200:1127, 1967), I wish to report another such case, apparently the second in the literature.In 1964 my patient, a 65-year-old man, was being treated with phenindione (Hedulin) because of myocardial infractions, with prothrombin times consistently about twice normal, when an occipital headache developed. It became increasingly severe over nine days, and on June 22 he lost consciousness, regaining consciousness only on July 4. The spinal fluid was grossly bloody. Arteriograms did not demonstrate the aneurysm. He made a complete and uneventful recovery and has remained fairly well except for angina on rather light effort.