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May 14, 1938

CHRONIC SUBDURAL HEMATOMA WITH ACUTE PSYCHOTIC MANIFESTATIONS: OPERATION AND RECOVERY

JAMA. 1938;110(20):1664-1665. doi:10.1001/jama.1938.62790200002010b
Abstract

The interest in this case lies in the acute manifestations of psychotic behavior in a proved chronic subdural hematoma with only minimal neurologic signs.

A white man, aged 37, married, of good health and exemplary habits, actively engaged in business and very alert, was on his vacation when suddenly the following acute symptoms developed: He became confused, completely disoriented as to time, place and person, failed to recognize his wife and immediate family, and became violent. He refused food and water for fear it was poisoned, and expressed many hallucinations and delusions; for example, that people were standing over him with guns to kill him. He was fearful of every one near him and became negativisitic, anxious, apprehensive and resistive.

In view of all these manifestations and his refusal of food he was taken to a hospital. While there he walked out in his pajamas and had to be brought

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