Spontaneous Subarachnoid Hemorrhage Occurring in Noneclamptic Pregnancy

WITH THE development of cerebral angiography, as pioneered by Egas Moniz,1exact visualization of the source of spontaneous subarachnoid hemorrhage is often possible, and its suitable surgical management may be suggested. This problem becomes more urgent and difficult when such a hemorrhage complicates normal pregnancy. There is little to be gleaned from the experience of others, as relatively few cases of spontaneous subarachnoid hemorrhage occurring in the course of normal gestation have been reported. On the other hand, many instances of such hemorrhages have been encountered in eclamptic women. In this communication we are confining our discussion strictly to the noneclamptic patient. In reviewing the experiences of other authors, we realize that it has been difficult for them to exclude some cases of borderline toxemia when reporting on this complication of pregnancy. Consequently, we feel that the statistics given to date are not altogether correct. While angiography may offer