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Harold P. Adams, Jr, MD; Steven F. Putman, MD; Neal F. Kassell, MD; James C. Torner, MS

Arch Neurol. 1984;41(10):1033-1035.

Abstract
• Diabetes mellitus is generally accepted as an important risk factor in cerebrovascular disease. The importance of this condition varies with the type of stroke. Patients with aneurysmal subarachnoid hemorrhages (SAHs) have a lower or equivalent prevalence of diabetes mellitus than the general population. In particular, insulin-dependent diabetes is rarely present prior to aneurysmal rupture. These observations suggest that diabetic patients are not at increased risk for aneurysmal SAH.

Author Affiliations
From the Department of Neurology (Drs Adams and Putman), the International Study of Timing of Aneurysm Surgery (Cooperative Aneurysm Study) (Drs Adams and Kassell and Mr Torner), and the Division of Neurosurgery, Department of Surgery (Dr Kassell and Mr Torner), University of Iowa, Iowa City.

Footnotes
Accepted for publication Dec 27, 1983.

Read in part at the annual meeting of the American Association of Neurological Surgeons, Washington, DC, April 25, 1983.

Reprint requests to Department of Neurology, University of Iowa Hospitals and Clinics, Iowa City, IA 52242 (Dr Adams).

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