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November 21, 1925


JAMA. 1925;85(21):1633-1637. doi:10.1001/jama.1925.02670210035011

During the last century, it was not uncommon to find in medical literature references and reports in regard to cases of basal cerebral hemorrhage. However, recent literature on the subject in the United States is remarkably limited. In most of the few cases cited, attention is paid to the fact that the lesion was discovered accidentally, a condition that leads us to conclude that this type of hemorrhage is much more frequent than is realized, more frequent at any rate than is recognized in diagnostic statistics. Because of the history of a fall or other form of trauma, these cases often find their way into the surgical ward of a hospital, or because of a nuchal rigidity and occipital headache they are treated as frank cases of meningitis.

Sydney Smith1 cites an instance of a patient brought in and treated for opium poisoning, a diagnosis in which all attending