Ocular Symptoms in Subarachnoid Hemorrhage

Blood in the subarachnoid space may be due (1) to a primary intracerebral hemorrhage in which the bleeding occurs in the brain proper and which reaches the subarachnoid space or the ventricles by bursting through the brain substance, and (2) to the rupture of a meningeal vessel (or aneurysm), which may be either spontaneous or traumatic. It is with the spontaneous rupture of a meningeal vessel (or aneurysm) that I especially wish to deal. In this paper I have drawn largely from the work of Symond,1Riddoch and Goulden,2and Leslie Paton,3whose recent investigations have given us a clinical picture, which, with almost certainty, may be recognized at the bedside. The subject seems to me timely, for besides not being generally known, it represents the clinical side of an investigation that is interesting nowdays when medical schools and hospitals are stressing the importance of laboratory research.