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May 1935


Author Affiliations


Arch Surg. 1935;30(5):783-804. doi:10.1001/archsurg.1935.01180110054004

That trauma to the head may produce epileptic seizures is a well known fact, but to ascertain in a given case of generalized epilepsy whether the epilepsy may reasonably be considered due to a previous head injury or whether it is of a nontraumatic type is not always easy. The following report of a case exemplifies such a problem:

A Negro man, aged 36, an electrician's helper, reported for examination with the complaint of generalized convulsions. Fourteen months previous to entrance, the head of a hammer flew from the handle while he was driving a nail and struck him in the right parietal region of the skull. He suffered an abrasion of the scalp, but there was no deep laceration, and sutures were unnecessary. Roentgenograms did not reveal a fracture. The patient was dazed, but there was considerable doubt as to whether he was unconscious at the time of the

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