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May 30, 1953


Author Affiliations

Burlington, Vt; Boston

From the departments of pediatrics and surgery, Harvard Medical School, and the departments of medicine and neurosurgery, Children's Medical Center, Boston (Drs. Ingraham and Matson); and the Division of Pediatrics, University of Vermont College of Medicine, and the Department of Pediatrics, Mary Fletcher Hospital, Burlington, Vt. (Dr. McKay). Dr. McKay is a Scholar in Medical Science, John and Mary R. Markle Foundation.

JAMA. 1953;152(5):387-391. doi:10.1001/jama.1953.03690050011005

The purpose of this report is to draw attention to the frequent occurrence of a complication of bacterial meningitis that we believe may be a significant cause of residual brain damage if it is not recognized and treated early. A preliminary report1 has already been published elsewhere. Subsequently Smith, Dormont, and Prather2 reported a series of 20 patients with the same complication of meningitis, Meneghello and Aguilo3 noted seven cases in Chile, and Arnold4 recently described five similar cases. As early as 1916, A. B. Schwartz5 specifically suggested meningitis as one cause of chronic subdural hematoma of infancy. Since that time a number of similar case reports6 have appeared, but the high incidence of significant amounts of subdural fluid complicating bacterial meningitis in infants has not been generally recognized. This condition appears to be separate from secondarily infected subdural hemorrhage after head injury and

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