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April 15, 1974

"Cabinet Door" Subdural Hematoma

Author Affiliations

Newport News, Va

JAMA. 1974;228(3):289. doi:10.1001/jama.1974.03230280017015

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To the Editor.—  Major trauma to the cranium may result in subdural or epidural hematoma. I have had two rather unusual cases within the past ten years that may conceivably interest the general medical profession. Both patients were older, gave no history of known trauma to the head, and only after demonstration of the subdural hematoma by arteriography recalled that each had struck a "cabinet door" (overhead) when arising from a crouched position several months earlier. In no instance had loss of consciousness occurred, although the injury had made each patient "see stars" for a few moments.

Case 1.—  A 55-year-old woman suffered severe headaches of one month's duration. Neurologic examination including funduscopic examination gave normal findings. X-ray films of the skull showed no fracture. Spinal puncture showed faintly xanthochromic fluid, and carotid arteriography showed a subdural hematoma. Further questioning disclosed that the patient had struck her head on a