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September 23, 1961

Brain Abscess and Head Trauma

Author Affiliations

505 Elizabeth Ave., Newark 12, N.J.

JAMA. 1961;177(12):881. doi:10.1001/jama.1961.03040380059016

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To the Editor:—  The case report of a brain abscess associated with minor head trauma, in the article cited, was presented because this association of events agreed well with several previous reports that have delineated this particular syndrome. This patient, now 11 months later, remains unchanged as regards her postoperative neurological defects and still shows no clinical evidence of another site of an infection that might conceivably have been a primary source for a bacteremia. We can only presume in post hoc, ergo propter hoc fashion, no matter what the limitations of the logic, that she was in good health before her accident and became critically ill directly following the injury. The individual reader is, of course, free to use his own critical judgment as to the validity of associating these events into a syndrome.Finally, it is our belief that medicolegal implications should of necessity follow medical observations rather

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