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Cerebrovascular Accident or Subdural Fluid Collection?

Cerebrovascular Accident or Subdural Fluid Collection? Abstract The subdural hematoma has been called the "neurological imitator" 1; subdural fluid collections must always be included in the differential diagnosis of cerebrovascular accidents (CVA). The postmortem finding of a subdural collection of fluid which might have been treated surgically is a disheartening experience. In order to gain information which might be helpful in distinguishing cerebrovascular disease from other focal brain diseases, particularly subdural hematoma and hygroma, a survey of experiences at the Yale-New Haven Medical Center between 1955 and 1960 has been made. Material All charts signed out as subdural hematoma or subdural hygroma between Jan 1, 1955, and Dec 31, 1960, were reviewed. Only cases proved at operation or on autopsy to have subdural fluid collections were considered. The total number of charts included cases from all adult clinical services as well as from the pathology department. The records of the history and physical examinations were abstracted for References 1. Aring, C. D.: Intracerebral Hemorrhage (Primary) , J Neurol Neurosurg Psychiat 1:129-135, 1960. 2. Echlin, F.: Traumatic Subdural Hematoma-Acute, Subacute, and Chronic , J Neurosurg 6:249-303, 1949. 3. McKissock, W.; Richardson, A.; and Bloom, W. H.: Subdural Hematoma: A Review of 389 Cases , Lancet 1:1365-1369, 1960.Crossref 4. Harrell, G. T.: Myxedema , Southern Med J 45:113-120, 1952.Crossref 5. Sherman, I. J., and Fromm, S. M.: Subdural Hematoma , Conn Med 25:569-573, 1961. 6. Stuteville, P., and Welch, K.: Subdural Hematomas in the Elderly Person , JAMA 168:1445-1449, 1958.Crossref 7. Miller, D., and Bleasel, K. F.: A Study of Subdural Hematoma , Med J Aust 2:1034-1037, 1960. 8. Kennedy, F., and Wortis, H.: "Acute" Subdural Hematoma and Acute Epidural Hemorrhage , Surg Gynec Obstet 63:732-742, 1936. 9. McLaurin, R. L., and Tutor, F. T.: Acute Subdural Hematoma , J Neurosurg 18:61-67, 1961.Crossref 10. Pevehouse, B. C.; Bloom, W. H.; and McKissock, W.: Ophthalmologic Aspects of Diagnosis and Localization of Subdural Hematoma , Neurology (Minneap) 10:1037-1041, 1960.Crossref 11. Browder, J.: A Resume of the Principal Diagnostic Features of Subdural Hematoma , Bull NY Acad Med 19:168-176, 1943. 12. Gurdjian, E. S.; Lindner, D. W.; Hardy, W. G.; and Thomas, L. M.: Incidence of Surgically Treatable Lesions in Cases Studied Angiographically , Neurology (Minneap) 11:150-152, 1961.Crossref 13. Kaplan, H. A.; Huber, W.; and Browder, J.: Electroencephalogram in Subdural Hematoma , J Neuropath Exp Neurol 15:65-78, 1956.Crossref 14. Millar, J. H. D.: The Electroencephalogram in Subdural Hematoma , Scot Med J 5:123-126, 1960. 15. Turrell, R. C.; Levy, L. L.; and Roseman, E.: The Value of the Electroencephalogram in Selected Cases of Subdural Hematoma , J Neurosurg 13:449-454, 1956.Crossref 16. Sullivan, J. F.; Abbott, J. A.; and Schwab, R. S.: The Electroencephalogram in Cases of Subdural Hematoma and Hygroma , Electroenceph Clin Neurophysiol 3:131-139, 1951.Crossref 17. Friedlander, W. J.: The Electroencephalographic Findings in 39 Surgically Proven Subdural Hematoma , Electroenceph Clin Neurophysiol 3:59-62, 1951.Crossref 18. Rodin, E. A.; Bickford, R. G.; and Svien, H. J.: Electroencephalographic Findings Associated With Subdural Hematoma , AMA Arch Neurol Psychiat 69:743-755, 1953.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

Cerebrovascular Accident or Subdural Fluid Collection?

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References (20)

Publisher
American Medical Association
Copyright
Copyright © 1963 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1963.03860060178020
Publisher site
See Article on Publisher Site

Abstract

Abstract The subdural hematoma has been called the "neurological imitator" 1; subdural fluid collections must always be included in the differential diagnosis of cerebrovascular accidents (CVA). The postmortem finding of a subdural collection of fluid which might have been treated surgically is a disheartening experience. In order to gain information which might be helpful in distinguishing cerebrovascular disease from other focal brain diseases, particularly subdural hematoma and hygroma, a survey of experiences at the Yale-New Haven Medical Center between 1955 and 1960 has been made. Material All charts signed out as subdural hematoma or subdural hygroma between Jan 1, 1955, and Dec 31, 1960, were reviewed. Only cases proved at operation or on autopsy to have subdural fluid collections were considered. The total number of charts included cases from all adult clinical services as well as from the pathology department. The records of the history and physical examinations were abstracted for References 1. Aring, C. D.: Intracerebral Hemorrhage (Primary) , J Neurol Neurosurg Psychiat 1:129-135, 1960. 2. Echlin, F.: Traumatic Subdural Hematoma-Acute, Subacute, and Chronic , J Neurosurg 6:249-303, 1949. 3. McKissock, W.; Richardson, A.; and Bloom, W. H.: Subdural Hematoma: A Review of 389 Cases , Lancet 1:1365-1369, 1960.Crossref 4. Harrell, G. T.: Myxedema , Southern Med J 45:113-120, 1952.Crossref 5. Sherman, I. J., and Fromm, S. M.: Subdural Hematoma , Conn Med 25:569-573, 1961. 6. Stuteville, P., and Welch, K.: Subdural Hematomas in the Elderly Person , JAMA 168:1445-1449, 1958.Crossref 7. Miller, D., and Bleasel, K. F.: A Study of Subdural Hematoma , Med J Aust 2:1034-1037, 1960. 8. Kennedy, F., and Wortis, H.: "Acute" Subdural Hematoma and Acute Epidural Hemorrhage , Surg Gynec Obstet 63:732-742, 1936. 9. McLaurin, R. L., and Tutor, F. T.: Acute Subdural Hematoma , J Neurosurg 18:61-67, 1961.Crossref 10. Pevehouse, B. C.; Bloom, W. H.; and McKissock, W.: Ophthalmologic Aspects of Diagnosis and Localization of Subdural Hematoma , Neurology (Minneap) 10:1037-1041, 1960.Crossref 11. Browder, J.: A Resume of the Principal Diagnostic Features of Subdural Hematoma , Bull NY Acad Med 19:168-176, 1943. 12. Gurdjian, E. S.; Lindner, D. W.; Hardy, W. G.; and Thomas, L. M.: Incidence of Surgically Treatable Lesions in Cases Studied Angiographically , Neurology (Minneap) 11:150-152, 1961.Crossref 13. Kaplan, H. A.; Huber, W.; and Browder, J.: Electroencephalogram in Subdural Hematoma , J Neuropath Exp Neurol 15:65-78, 1956.Crossref 14. Millar, J. H. D.: The Electroencephalogram in Subdural Hematoma , Scot Med J 5:123-126, 1960. 15. Turrell, R. C.; Levy, L. L.; and Roseman, E.: The Value of the Electroencephalogram in Selected Cases of Subdural Hematoma , J Neurosurg 13:449-454, 1956.Crossref 16. Sullivan, J. F.; Abbott, J. A.; and Schwab, R. S.: The Electroencephalogram in Cases of Subdural Hematoma and Hygroma , Electroenceph Clin Neurophysiol 3:131-139, 1951.Crossref 17. Friedlander, W. J.: The Electroencephalographic Findings in 39 Surgically Proven Subdural Hematoma , Electroenceph Clin Neurophysiol 3:59-62, 1951.Crossref 18. Rodin, E. A.; Bickford, R. G.; and Svien, H. J.: Electroencephalographic Findings Associated With Subdural Hematoma , AMA Arch Neurol Psychiat 69:743-755, 1953.Crossref

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Dec 1, 1963

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