Abstract
To determine the precipitating factors of aneurysmal rupture, the medical records of 425 consecutive patients with aneurysmal subarachnoid hemorrhage were reviewed. As for the time of onset, a significantly higher incidence was found between 06.00 and 09.00 h and 18.00 and 21.00 h. Aneurysmal rupture occurred most frequently during talking, watching TV or staying home without any strenuous physical activity. The highest peak incidence considering the time spent was found during defecation and/or micturition. There was no evidence that aneurysmal rupture was prone to occur during physical work, either at the workplace or at home. Hypertension was the most common preexisting disease.
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© 1993 S. Karger AG, Basel
1993
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