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Aconsiderable diversity of opinion exists concerning the management of subarachnoid hemorrhage and of its principal cause, ruptured intracranial aneurysms. Moreover, that the controversy transcends disciplinary boundaries is illustrated by the conclusions of McKissock et al.33–35 that“the untreated appear to fare as well as those operated upon” and that “there can be no proof of the value of surgical treatment in this condition.”33 Benson3 concluded that if those patients who terminate fatally in the early danger period are excluded, “conservatively treated aneurysms and surgically treated aneurysms have nearly the same prognosis.” Yet
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