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December 6, 1902

SEVERE BRAIN INJURY WITHOUT FOCAL SYMPTOMS.

JAMA. 1902;XXXIX(23):1458-1459. doi:10.1001/jama.1902.52480490030002

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Abstract

The Injury.  —July 8, 1902, at 7 p. m., E. L., male, aged 27, had an iron bolt, with a one-inch square top on its end, driven by direct violence through the vault of the cranium. The bolt cut through his hat and scalp, crushing in at least one square inch of the frontal and nearly as much of the left parietal bones, carrying the fragments deep into the brain substance. A triangular piece of left parietal bone, one inch wide at its base and one and one-half inches long, was broken down and rested on the brain. The front edge of the wound was one and one-half inches in front of the coronal suture, a little to the left of the median line of the frontal bone, extending across the median line probably one-half inch, thence backward across the coronal suture into the left parietal about one inch. It

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