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By John L. Fox M.D. (auth.)

ISBN-10: 146125437X

ISBN-13: 9781461254379

ISBN-10: 1461254396

ISBN-13: 9781461254393

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Example text

Tumorous aneurysms occasionally appeared on pneumoencephalography (Fig. 4). A dramatic turn of events occurred in 1927 when Egas Moniz (122,l24) of Portugal demonstrated shadows of cerebral vessels on radiographic film during contrast injection. Angiography was born. " In 1933 Moniz (118121,l23), Dott (23,49), and Tonnis (168) all showed an ICAA on cerebral angiography (Fig. 5). In 1935 Tonnis (167) reported revealing an ACoAA by thorotrast angiography. In the early 1940s thorotrast angiography revealed the site of these aneurysms in a number of cases (74,90).

Bailey and Loeser (2) estimated that in the United States there are 16 SAH cases per lOO,OOO population per year. If half of these are due to a ruptured aneurysm, then this correlates fairly well with the Crawford and Sarner (14) British study estimating that there are six cases of ruptured aneurysm per 100,000 population. 6 cases of ruptured aneurysm per lOO,OOO population under 60 years of age. But du Bouley (17), basing his report on angiographic investigations, believed the incidence of silent aneurysms to be much higher: 450 per 100,000.

Beitr Gerichtl Med 8:162-177, 1928 Turnbull HM: Intracranial aneurysms. Brain 41:50-56, 1918 Walton IN: Subarachnoid Haemorrhage. Edinburgh, Livingstone, 1956 Data. I Robert J Hacker, John M. Krall, and John L. Fox Part 1. General Overview Introduction Chapters 3 and 4 consider certain data which pertain to the statistical assessment of intracranial aneurysms. Such data include aneurysm site, arterial predilection, side, age, sex, symp~ toms, clinical grade, blood pressure, treatment, results, and associated conditions.

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