Spontaneous Intracerebral Hemorrhage

A Study of Eight Surgically Treated Cases of Spontaneous Sub-Cortical Haematoma

“…Thus it seems that spontaneous sub-cortical haematoma occurs in relatively young patients, as emphasized by Jewesbury (1947), among others, and three times more frequently in men than in women. This agrees with reports by various authors: two-thirds of Craig and Adson's (1936) nine patients were under 40; the average age of Klemme's (1941) six patients was 34. Six out of eight patients described by Pilcher (1941) were middle-aged, three being under 20 (but four cases were post-traumatic).…”

“…Whether this is true in all cases is not yet proved. Craig and Adson (1936), struck by the fact that they were unable to find any active bleeding point after emptying the intracerebral cavity, sponsored the idea of a venous origin. We made the same observation in our unsuccessful search for an arterial bleeding source; however, we feel that slow venous oozing can hardly be responsible for the apoplectic onset observed.…”

Delayed Traumatic Intracerebral Haemorrhage

“…That an encysted intracerebral haemorrhage from whatever cause may in this way come to present the symptoms of an expanding lesion has been recognized from the publication of occasional cases, and is illustrated by case reports in a paper by Craig and Adson (1936). Four of their cases showed papillpedema in addition to the signs of a localized cerebral lesion.…”