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Article
October 19, 1912

A CASE OF TRAUMATIC PSYCHOSIS ASSOCIATED WITH AN OLD DEPRESSED FRACTURE OF THE SKULL, FRONTAL REGION; OPERATION; RECOVERY

JAMA. 1912;LIX(16):1447-1449. doi:10.1001/jama.1912.04270100215011
Abstract

We deem this case of sufficient interest to report for the following reasons: It was a case of a traumatic psychosis which had already been treated for a year and four months in a private hospital for the insane, without improvement, before it was seen by us. There was a history of an old compound fracture of the skull over the right inferior frontal region, sustained about eleven years prior to the onset of the psychosis. A surgical operation revealed an area of depression of the inner table of the skull, at the site of the old injury, corresponding to the right middle and inferior frontal convolutions. And, lastly, after the operation for the removal of the depressed bone there was a rapid recovery from all symptoms and a restoration of the patient to his family and his business. The operation was performed in January, 1911, so that sufficient length

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