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Article
May 1941

TRAUMATIC PACHYMENINGITIS INTERNA AND SUBDURAL ABSCESSWITH SPECIAL REFERENCE TO PATHOGENESIS AND PATHOLOGY

Author Affiliations

LOS ANGELES
From the Department of Neurology and Psychiatry, College of Medical Evangelists, and the Cajal Laboratory of Neuropathology, Los Angeles County Hospital.

Arch Surg. 1941;42(5):890-908. doi:10.1001/archsurg.1941.01210110092007
Abstract

Subdural abscess stands preeminent as the most neglected and most misunderstood of all intracranial suppurative lesions. It is not mentioned in any of the general textbooks on pathology, nor is it considered specifically in the majority of monographs or texts concerned with the pathology of the nervous system. Contemporary otologic or rhinologic literature has little to say about subdural abscess other than to give it occasional passing mention as "abscess" or more rarely as "subdural abscess." It is often mistaken for septic meningitis, the observer not distinguishing the pus in the subdural (extra-arachnoid) space from that beneath the arachnoid. It is to this neglected lesion, particularly as it applies to craniocerebral injuries, that attention is particularly directed in this paper. It is the object of this study to establish subdural abscess as a distinctive suppurative lesion which may complicate craniocerebral trauma, to present certain facts regarding its evolution and character

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