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Article
July 1927

THE RELATIONSHIP OF CHRONIC SUBDURAL HEMATOMA AND PACHYMENINGITIS HEMORRHAGICA INTERNAA REPORT OF EIGHT CASES, WITH THE REPORT OF FINDING BILE PIGMENT IN THE HEMATOMA

Author Affiliations

LOUISVILLE, KY.
From the Departments of Pathology and Surgery, Louisville City Hospital and University of Louisville School of Medicine.

Arch Surg. 1927;15(1):45-56. doi:10.1001/archsurg.1927.01130190048003
Abstract

Chronic subdural hematoma as a definite clinical and pathologic entity is only of recent prominence. Particularly is this true of cases which result from trauma. Putnam and Cushing1 recently reported twelve cases, contributed by members of the Society of Neurological Surgeons, placing special emphasis on the traumatic features, with a comprehensive review of the literature. Within a period of five months, four cases of this condition have come to necropsy at this hospital. In three of these there was a definite relationship to trauma. Four more cases have been added from pathologic records.

REPORT OF CASES 

Case 1.  —Traumatic subdural hematoma of two months' duration with psychosis.C. S., an American laborer, aged 46, was admitted to the hospital on April 29, 1926, eleven hours after he had been picked up on the street in a semicomatose condition. Dispensary records state that he had been struck by an automobile

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