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January 21, 1939


Author Affiliations

Assistant in Surgery, Harvard University Medical School, and Neurologic Surgeon, the Children's Hospital; Research Fellow in Physiology and in Surgery, Harvard University Medical School, and Fellow in Neurosurgery, the Children's Hospital BOSTON

From the Surgical Service of the Infants' and the Children's hospitals and the Department of Surgery, Harvard University Medical School.

JAMA. 1939;112(3):198-204. doi:10.1001/jama.1939.02800030008003

Intracranial hemorrhage with the formation of a subdural hematoma is a common condition in infancy and early childhood. In the Infants' and the Children's hospitals during the past ten years we have studied and treated it in more than fifty cases. Of these, the last eleven, occurring in the year ended July 1, 1938, form the specific basis for this discussion.

There are several phases of this question which seem to us to be of general interest, and we should like to suggest a routine for the management of the majority of the patients. The condition occurs more frequently in undernourished children, and in the majority of instances there is a history of trauma. Sherwood1 pointed out that subdural hematoma occurs more frequently in infants cared for in foster homes, and Peet and Kahn2 refer to Rosenberg's3 extensive experience with this condition, during which he had never

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