Twenty-four patients had intracerebral hemorrhage while they were being treated with anticoagulants. Hypertension was present in 67% of the cases, head trauma was an uncommon preceding event, and simultaneous bleeding in other organs occurred in only one instance. Neurologic abnormalities progressed for several hours in 58%. Seizures occurred at onset in 12.5%. The location of the hemorrhage was as follows: cerebellum (nine cases), lobar white matter (six), basal ganglia (five), thalamus (two), and hemisphere, unspecified (two). In 61%, the hemorrhages occurred within 6 months of therapy. In 75%, the prothrombin time was beyond 1 1/2 times the control value. Mortality was 62.5%. Survivors had smaller hematomas than did patients with fatal hemorrhage.

Twenty-two cases of lobar hematomas occurred among 93 consecutive patients presenting with intracerebral hemorrhage. Arterial hypertension was the leading cause. Most hematomas were found in the parietotemporal region. Common physical findings were hemiparesis, hemisensory syndrome, and visual field defects. Seizures occurred in 23% of the patients, and coma was infrequent at onset. Mortality rate was 32%. Hematoma size on CT correlated with outcome: Patients with small hematomas did well on medical treatment, and those with medium size and large hematomas had mortalities of 14 and 60%, respectively. One-half of the survivors in the latter groups were treated surgically. It is proposed that large and medium size hematomas might benefit from surgical treatment, especially when the level of consciousness progressively deteriorates or CT scan shows prominent midline shift.

The achievement of urinary continence is possible when the intravesical pressure remains less than that in the urethra (Enhorning, 1961). Much attention has been paid to the cause and detection of bladder neck and urethral sphincter dysfunction and to its treatment (Bates, 1971 ;Edwards, Harrison and Williams, 1971 ;Moolgaoker et al., 1972;Vincent, 1972). This paper is particularly concerned with the role of electromyography (E.M.G.) as a means of diagnosing detrusor dysfunction in cases of female urinary incontinence.In practice, 3 types of detrusor dysfunction can be distinguished:1. Uninhibited detrusor activity-an unstable bladder. 2. Hypertonic detrusor action. 3. Hypotonic detrusor action.

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