Skip to main content
Journal of Neurology, Neurosurgery, and Psychiatry logoLink to Journal of Neurology, Neurosurgery, and Psychiatry
. 1977 Sep;40(9):926–931. doi: 10.1136/jnnp.40.9.926

Subarachnoid haemorrhage of unknown aetiology

A clinical and radiological study of 51 cases

R D Hayward 1
PMCID: PMC492868  PMID: 599369

Abstract

A detailed clinical and radiological study of 51 patients presenting with a subarachnoid haemorrhage, for which no cause could be found, has been described. Although selection for full investigation has favoured the inclusion of younger and fitter patients, analysis of the information obtained suggests that haemorrhage could be due to: (a) aneurysms undergoing thrombosis at the time of haemorrhage, in which subsequent recanalisation will produce a low incidence of further bleeding; (b) minute (2 mm) aneurysms, destroyed at the time of haemorrhage and posing no subsequent threat.

Full text

PDF
926

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. CRAWFORD T. Some observations on the pathogenesis and natural history of intracranial aneurysms. J Neurol Neurosurg Psychiatry. 1959 Nov;22:259–266. doi: 10.1136/jnnp.22.4.259. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Cole F. M., Yates P. O. The occurrence and significance of intracerebral micro-aneurysms. J Pathol Bacteriol. 1967 Apr;93(2):393–411. doi: 10.1002/path.1700930202. [DOI] [PubMed] [Google Scholar]
  3. Galera R., Greitz T. Hydrocephalus in the adult secondary to the rupture of intracranial arterial aneurysms. J Neurosurg. 1970 Jun;32(6):634–641. doi: 10.3171/jns.1970.32.6.0634. [DOI] [PubMed] [Google Scholar]
  4. Griffith H. B., Cummins B. H., Thomson J. L. Cerebral arterial spasm and hydrocephalus in leaking arterial aneurysms. Neuroradiology. 1972 Dec;4(4):212–214. doi: 10.1007/BF02469132. [DOI] [PubMed] [Google Scholar]
  5. HASSLER O. Morphological studies on the large cerebral arteries, with reference to the aetiology of subarachnoid haemorrhage. Acta Psychiatr Scand Suppl. 1961;154:1–145. [PubMed] [Google Scholar]
  6. Hayward R. D. Intracranial arteriovenous malformations. Observations after experience with computerised tomography. J Neurol Neurosurg Psychiatry. 1976 Oct;39(10):1027–1033. doi: 10.1136/jnnp.39.10.1027. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Hayward R. D., O'Reilly G. V. Intracerebral haemorrhage. Accuracy of computerised transverse axial scanning in predicting the underlying aetiology. Lancet. 1976 Jan 3;1(7949):1–4. doi: 10.1016/s0140-6736(76)92904-4. [DOI] [PubMed] [Google Scholar]
  8. Hunt W. E., Hess R. M. Surgical risk as related to time of intervention in the repair of intracranial aneurysms. J Neurosurg. 1968 Jan;28(1):14–20. doi: 10.3171/jns.1968.28.1.0014. [DOI] [PubMed] [Google Scholar]
  9. Kendall B. E., Lee B. C., Claveria E. Computerized tomography and angiography in subarachnoid haemorrhage. Br J Radiol. 1976 Jun;49(582):483–501. doi: 10.1259/0007-1285-49-582-483. [DOI] [PubMed] [Google Scholar]
  10. McKISSOCK W., PAINE K., WALSH L. Further observations on subarachnoid haemorrhage. J Neurol Neurosurg Psychiatry. 1958 Nov;21(4):239–248. doi: 10.1136/jnnp.21.4.239. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. RUSSELL D. S. Spontaneous intracranial haemorrhage. Proc R Soc Med. 1954 Aug;47(8):689–693. [PMC free article] [PubMed] [Google Scholar]
  12. WALSH L. S. Subarachnoid haemorrhage. Acta radiol. 1956 Jul-Aug;46(1-2):321–325. doi: 10.1177/028418515604600140. [DOI] [PubMed] [Google Scholar]
  13. Winn H. R., Richardson A. E., Jane J. A. The long-term prognosis in untreated cerebral aneurysms: I. The incidence of late hemorrhage in cerebral aneurysm: a 10-year evaluation of 364 patients. Ann Neurol. 1977 Apr;1(4):358–370. doi: 10.1002/ana.410010407. [DOI] [PubMed] [Google Scholar]

Articles from Journal of Neurology, Neurosurgery, and Psychiatry are provided here courtesy of BMJ Publishing Group

RESOURCES