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October 1958

Cerebrospinal Fluid Rhinorrhea in an Accident-Prone Individual

AMA Arch Otolaryngol. 1958;68(4):493-496. doi:10.1001/archotol.1958.00730020513011

The patient, an expert electrician, was born May 3, 1903, in Massachusetts. At the age of 15 he encountered his first serious accident while experimenting with gunpowder. Tinnitus and a perceptive hearing loss are the persistent symptoms resulting from the inevitable explosion.

Before delving into the present illness, at least light note should be made of another incident in the patient's past history of accidents. Two days before Christmas, 1942, the patient was walking alone along a

Fig. 1.—Patient, age 53. Arrow points to the puncture wound.

Fig. 2.—March 28, 1957. Left ethmoid dense.

roadway during a snow storm. He slipped on the ice just as a snow plow approached and became incorporated in a pile of snow for the next 150 ft. It was learned later that the driver mistook him for a Christmas tree. There was no loss of consciousness. Seventeen days of hospitalization were required for the

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