REPEATED MULTIPLE MINUTE CORTICOSPINAL HEMORRHAGES WITH MILIARY ANEURYSMS IN A CASE OF ARTERIOSCLEROSIS
Open Access
- 1 March 1921
- journal article
- other
- Published by American Medical Association (AMA) in Archives of Neurology & Psychiatry
- Vol. 5 (3) , 270-282
- https://doi.org/10.1001/archneurpsyc.1921.02180270042002
Abstract
INTRODUCTORY Miliary aneurysms were first mentioned by Cruveilhier1in his "Atlas," in which he pictured a case of multiple minute hemorrhages similar in pathologic appearance to the condition in the case I shall describe. He reported this condition as a "rare form of capillary apoplexy which consists of small disseminated miliary hemorrhagic foci (apoplexie capillaire a foyers miliaires). In 1851, Virchow2carefully described miliary aneurysms, and in his plates showed that true aneurysms are caused by disease in the coats of the vessels, chiefly the muscular. He differentiated between spindle-form aneurysms which involve the whole vessel wall and sac-like swellings which indicate a weakening on one side only; the latter are much less common. He was able to show all vessel coats extending over some of the ectasias, including the middle or muscular coat—this condition he calls "aneurysmata vera totalia." Furthermore, he showed all degrees of degeneration ofKeywords
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