Neurological syndromes following arachnoid cyst is a rear complication of aneurysmal subarachnoid haemorrhage which is less than 1%. The best treatment option is complete removal of these bubbles. Posterior cysts are accessible to complete surgical resection without spinal cord damage. Anterior cysts are often managed with a cystoperitoneal shunt. However, Patients with associated arachnoiditis...

SIR,-We were interested in the cases of adenovirus type 19 keratoconjunctivitis reported from Belgium and Holland by Dr. J. Desmyter and others (16 November, p. 406). Though a few strains of this virus have been isolated elsewhere in Britain during 1973-4, it was not until July 1974 that it was first detected in Scotland. The patient, a male anaesthetist aged 52 years, first developed photophob...

OBJECTIVE To investigate the incidence and severity of pituitary insufficiency after aneurysmal subarachnoid haemorrhage. METHODS Pituitary function was tested in a series of patients more than 12 months but less than 60 months after aneurysmal subarachnoid haemorrhage using a combined TRH-LHRH-arginine test and the insulin tolerance test, to elucidate possible deficits in the gonadotrophic, ...

Seventy-five consecutive patients aged 15 to 55 years with aneurysmal subarachnoid haemorrhage verified by CSF examination and cerebral angiography or at necropsy were studied. In 19 cases (25%; four women and 15 men) the bleeding was preceded within 24 hours by a bout of alcohol drinking. Alcohol-related cases composed 33% and 14% of the patients in the age groups 15-40 and 41-55 years, respec...

BACKGROUND Some cases of subarachnoid haemorrhage (SAH) have been associated with vigorous physical activity, including sports. Our research aimed to describe the association between SAH and sports and to identify the types of sports that were more frequently found as precipitating factors in a tertiary single-centre SAH register. METHODS We retrieved information from a prospectively collecte...

RECURRENT subarrachnoid haemorrhage from intrachanial aneurysms most commonly occurs during the 2nd, 3rd and 4th weeks after the initial ictus, and after 8 weeks the recurrence rate, approaching 50% in untreated cases, falls sharply (Hamby, 1948; Walton, 1952; Holmes, 1957; McKissoch, Paine & Walshe, 1958). For those patients having no surgery who survive 6 weeks after subarachnoid haemorrhage,...

OBJECTIVES Acute subarachnoid haemorrhage still has high mortality and morbidity despite the use of modern standard treatment. In Taiwan, complementary therapies of Chinese medicine are usually used to treat stroke patients. The aim of this study was to investigate the effect of complementary therapies of Chinese medicine on patients with acute subarachnoid haemorrhage after aneurysm clipping. ...

OBJECTIVE To determine the efficacy of oral nimodipine in reducing cerebral infarction and poor outcomes (death and severe disability) after subarachnoid haemorrhage. DESIGN Double blind, placebo controlled, randomised trial with three months of follow up and intention to treat analysis. To have an 80% chance with a significance level of 0.05 of detecting a 50% reduction in an incidence of ce...

Over the nineteen years 1974 to 1992 twenty-four families have been identified in whom more than one member have had a subarachnoid haemorrhage, usually due to rupture of an intracranial aneurysm. These cases usually occurred at an age younger than average, and multiple aneurysms were commonly found on investigation. This series strongly suggests that a congenital arterial defect may predispose...

OBJECTIVES The purpose was to define the incidence and case fatality rates of subarachnoid haemorrhage in the population of Devon and Cornwall. METHODS A retrospective population based design was employed with multiple overlapping methods of case ascertainment. A strict definition of subarachnoid haemorrhage was used. Age and sex specific incidence rates and relative risks for death at differ...