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To the Editor:—
With regard to the article by Dr. D. M. Olkon on chronic subdural hematoma with acute psychotic manifestations (The Journal, May 14, p. 1664) it appears to me that the patient mentioned had an additional diagnosis, that of bromide intoxication, which if true could easily have been confirmed by a blood bromide determination. In the first place there is a history of bromide intake: "He took 'bromo-seltzer' three or four times a day." I infer that this intake continued over a period of about one year since the "bromo-seltzer" was taken for headaches, which began about a year before the patient came under Dr. Olkon's care and "continued." A patient in our series of twenty-one cases of bromide intoxication (Burns, G. C., and Henderson, J. L.: Bromide Intoxication, California & West. Med.46:392 [June] 1937) had a similar history of having taken "bromo-seltzer" in excessive quantities,
Henderson JL, Physician R. "CHRONIC SUBDURAL HEMATOMA WITH ACUTE PSYCHOTIC MANIFESTATIONS". JAMA. 1938;111(1):80. doi:10.1001/jama.1938.02790270082021
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