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August 16, 1902


JAMA. 1902;XXXIX(7):379. doi:10.1001/jama.1902.02480330033010

Hemorrhage into the brain occurring as a result of rupture of a diseased blood vessel is not, as a rule, amenable to surgical treatment, although occasionally life may be prolonged or saved by prompt intervention. When, however, the extravasation of blood is due to traumatism, timely operation may be the means of averting a fatal issue, providing the source of hemorrhage can be localized and is determined to be in an accessible situation. Such a case has recently been reported by Dr. Lucius W. Hotchkiss,1 and is worthy of notice by reason of its successful outcome. A man, 39 years old, fell backward down a narrow flight of stairs, a distance of nine feet, presumably striking the back of his head. He was unconscious for about eight hours, and at the end of this time appeared dazed and had great difficulty in talking. It was said there had been