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April 1990

Treatment of Aneurysmal Subarachnoid Hemorrhage

Author Affiliations

From the Department of Neurology, University of Cincinnati (Ohio) College of Medicine, and the Mayfield Neurological Institute, Cincinnati, Ohio.

Arch Neurol. 1990;47(4):450-451. doi:10.1001/archneur.1990.00530040106026

In the olden days, the analysis of cerebrospinal fluid (CSF) was important in clinical neurology. Those were also the early days of neuroradiology, then characterized as the test that cost the most, and told us the least. Practically every patient admitted on the neurology service of the Boston City Hospital (BCH) had both tests performed for there was little else besides clinical acumen. Air encephalography was available. There was no arteriography or isotope scanning and, of course, none of the modern imaging techniques. There was beginning contrast study of the spinal canal and an occasional air myelogram.

In the early 1930s, H. Houston Merritt and Frank Fremont-Smith of the neurology staff of the BCH were collecting statistical data for their book about the CSF. Following my first year in neurology there, and before my chief residency, I transferred to child neurology at the Boston Children's Hospital with Bronson Crothers and

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