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REPORT OF SEVEN CASES

CARL W. RAND, M.D.

Arch Surg. 1927;14(6):1136-1165.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

During the summer of 1923, a group of clinicians were puzzling over the condition of a patient who had been admitted to the neurosurgical service of the Los Angeles General Hospital, suspected of having a tumor of the brain. Localization of the lesion by ordinary methods of neurologic examination proved baffling, but was finally accomplished by the inflation of the ventricles with air. The night before exploratory craniotomy was to have been performed, the patient suddenly died, and at the autopsy an unsuspected type of chronic subdural hemorrhage was discovered. At the time this case was unique in my experience, although since then six additional cases have been encountered, which, together with the first, form the basis of this report.

These cases differ symptomatically and pathologically from the meningeal type of epidural or subdural hemorrhage which usually follow injuries of the head, and more closely resemble the picture of pachymeningitis . . . [Full Text PDF of this Article]

Author Affiliations
LOS ANGELES

Footnotes
* This rare type of late subdural hemorrhage of traumatic origin has been discussed in the literature under many and varying names. It has perhaps been most frequently referred to as traumatic subdural hemorrhage, encapsulated subdural hemorrhage, chronic subdural hemorrhage, encysted subdural hemorrhage, pachymeningitis hemorrhagica interna, pachymeningitis hemorrhagica interna traumatica, hematoma durae matris, etc. The term chronic subdural hematoma is perhaps becoming more frequently used and has been chosen because it seems to fit the pathologic conditions more consistently than any other.

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