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Article
May 15, 1948

Hematomas subdurales: Generalidades, sintomatologia, bibliografia

JAMA. 1948;137(3):328. doi:10.1001/jama.1948.02890370110027

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Abstract

In this small book fifty of the two hundred and fifty pages are occupied by a lengthy bibliography. The remainder contains extensive extracts from the literature, numerous case histories and statistics concerning the 67 cases in the author's personal experience. From this material the author finds that about 1.5 per cent of traumatisms of the head are complicated by a hematoma. Ipsilateral symptoms were observed in 12 instances, confusion or obnubilation in 40, papillary edema in 16, motor pareses in 45 and epileptic attacks in 20. There was usually a slight increase in pressure of the spinal fluid, xanthochromia and slight pleocytosis. The electroencephalographic findings were not helpful. Arteriography was not used. Radiography was found useful. One might find signs of intracranial hypertension in children, displacement of the pineal body, old fractures or, infrequently, unusual calcifications. Ventriculography demonstrated displacement, distortion of the ventricles or partial lack of filling of ventricles

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