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January 1975

Medical Treatment of Subdural Hematomas Challenged

Author Affiliations

Tallahassee Fla

Arch Neurol. 1975;32(1):69. doi:10.1001/archneur.1975.00490430091023

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To the Editor.—  The report entitled "Nonsurgical Treatment of Subdural Hematomas" by Bender and Christoff in the August issue of the ARCHIVES (31:73, 1974) might be challenged as follows.It is sometimes well to question forms of therapy that have been accepted and unchallenged for years. This becomes especially important if the accepted form of treatment is unsatisfactory. The removal of a subdural fluid collection through a burr hole with the patient under local anesthesia has proved both safe and effective and is certainly one of the most rewarding forms of treatment in medicine. Why is it being challenged?Because of their secondary nature, no emphasis has been placed on the economics of weeks of prolonged hospitalization during medical treatment nor on the infrequent case of unrecognized subdural tumor or empyema treated with corticosteroids.There are several other questions that should be directed to the authors. They mention that their

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