Acute Subdural Hematomas

  • D. P. Becker
Part of the Advances in Neurotraumatology book series (NEUROTRAUMATOL., volume 1)


Acute subdural hematoma (ASDH) is a common occurrence following severe head injury. Early diagnosis and rapidly executed treatment for acute subdural hematomas strikingly improve outcome. It is a misconception that an operation is rarely necessary in head injury. In most large series of patients with severe head injury, i.e., patients unable to speak or follow commands, the incidence of intracranial mass lesions treated operatively is in the range of 40 to 60% (Becker et al 1977, Jennettet al 1976, Pagni 1973, Pazzagha et al 1979, Rossanda et al 1973). In close to half of patients requiring operation, the primary diagnosis is acute subdural hematoma. Untreated, these lesions give rise to an extremely high mortahty rate. It follows that neurological surgeons should be actively involved in the critical management of these patients, or at least readily available. Since an emergency operation is often required in the care of a patient with severe brain injury, the surgeon should have a working knowledge of all aspects of the operative techniques required for treating head injury (Becker et al 1982).


Head Injury Intracranial Pressure Mass Lesion Subdural Hematoma Severe Head Injury 
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  1. 1.
    Balslev-Jorgenson, R, Heilbrun, M. R, Boysen, G., Rosenklint, A., Jorgenson, E. O., 1972: Cerebral perfusion pressure correlated with regional cerebral blood flow and aortocervical arteriography in patients with severe brain disorders progressing to death. Eur. Neurol. 8, 207–212.CrossRefGoogle Scholar
  2. 2.
    Becker, D. R (In discussion of Miller, J. D.), 1976: Clinical aspects of intracranial pressure-volume relationships. In: McLaurin, R. L. (ed.), Head Injuries: Second Chicago Symposium on Neural Trauma, pp. 247–248. New York: Grune & Stratton, Inc.Google Scholar
  3. 3.
    Becker, D. R, Gudeman, S. K., Miller, J. D., 1981: Head injuries: In: Goldsmith, H. S. (ed.), Practice of Surgery. Philadelphia: Harper & Row.Google Scholar
  4. 4.
    Becker, D. P., Miller, J. D., Sweet, R. C., Sweet, J. D., et al, 1979: Head injury management. In: Popp, A. J., Bourke, R. S., Nelson, L. R., Kimelberg, H. K. (eds.). Neural Trauma. Seminars in Neurological Surgery, pp. 313–328. New York: Raven Press.Google Scholar
  5. 5.
    Becker, D. P., Miller, J. D., Ward, J. D., Greenberg, R. P., Young, H. F., Sakalas, R., 1977: The outcome from severe head injury with early diagnosis and intensive management. J. Neurosurg. 47, 491–502.PubMedCrossRefGoogle Scholar
  6. Becker, D. P., Miller, J. D., Young, H. E., etal, 1976a: The critical importance of intracranial pressure monitoring in head injury. In: Becks, J. W. F., Bosch, D. A., Brock, M. (eds.), Intracranial Pressure III, pp. 97–100. Berlin- Heidelberg-New York: Springer.CrossRefGoogle Scholar
  7. 7.
    Becker, D. P., Miller, J. D., Young, H. F., Selhorst, J. B., Kishore, P. R. S., Greenberg, R. P., Rosner, M. J., Ward, J. D., 1982: Diagnosis and treatment of head injury in adults. In: Youmans, J. R. (ed.). Neurological Surgery, Vol. 4, pp. 1938–2083. Philadelphia: W. B. Saunders Co.Google Scholar
  8. 8.
    Becker, D. P., Sullivan, H. G., Adams, W. E., et al, 1976 b: Controlled hyperventilation in severe mechanical brain injury. In: McLaurin, R. L. (ed.), Head Injuries: Second Chicago Symposium on Neural Trauma, pp. 157–159. New York: Grune & Stratton, Inc.Google Scholar
  9. 9.
    Becker, D. P., Vries, J. K., Young, H. F., et al, 1975: Controlled cerebral perfusion pressure and ventilation in mechanical brain injury: Prevention of progressive brain swelling. In: Lundberg, N., Ponten, U., Brock, M. (eds.), Intracranial Pressure II, pp. 480–484. Berhn-Heidelberg-New York: Springer.CrossRefGoogle Scholar
  10. 10.
    Braakman, R., Gelpke, G. J., Habbema, J. D. F., Maas, A. I. R., Minderhoud, J. M., 1980: Systematic selection of prognostic features in patients with severe head injury. Neurosurgery 6, 362–370.PubMedCrossRefGoogle Scholar
  11. 11.
    Braakman, R., Schouten, H. J., Blaauw-van Dishoeck, M., Minderhoud, J. M., 1983: Megadose steroids in severe head injury: Results of a prospective double-blind clinical trial. J. Neurosurg. 58 (3), 326–330.PubMedCrossRefGoogle Scholar
  12. 12.
    Brendler, S. J., Selverstone, B., 1970: Recovery from decerebration. Brain 93, 381–392.PubMedCrossRefGoogle Scholar
  13. 13.
    Bricolo, A., Turazzi, S., Alexandre, A., Rizzuto, N., 1977: Decerebrate rigidity in acute head injury. J. Neurosurg. 47, 680–698.PubMedCrossRefGoogle Scholar
  14. 14.
    Browder, J., 1943: A resume of the principle diagnostic features of subdural hematoma. Bull. N.Y. Acad. Med. 19, 168–176.PubMedGoogle Scholar
  15. 15.
    Bucy, P. C., Oberhili, H. R., 1968: Subdural hematoma in adults. Arizona Med. 25, 186–189.PubMedGoogle Scholar
  16. 16.
    Cairns, H., 1952: Disturbances of consciousness with lesions of the brain stem and diencephalon. Brain 75, 109–146.PubMedCrossRefGoogle Scholar
  17. 17.
    Chambers, J. W., 1951: Acute subdural hematoma. J. Neurosurg. 8, 263–268.PubMedCrossRefGoogle Scholar
  18. 18.
    Clark, K., Nash, T. M., Hutchinson, G. C., 1968: The failure of circumferential craniotomy in acute traumatic cerebral swelling. J. Neurosurg. 29, 367–371.PubMedCrossRefGoogle Scholar
  19. 19.
    Cooper, P. R., Rovit, R. L., Ransohoff, J., 1976: Hemicraniectomy in the treatment of acute subdural hematoma: a re-appraisal. Surg. Neurol. 5, 25–28.PubMedGoogle Scholar
  20. 20.
    Corsellis, J. A. N., 1958: Individual variation in the size of the tentorial opening. J. Neurol. Neurosurg. Psychiat. 21, 279–283.PubMedCrossRefGoogle Scholar
  21. 21.
    Davis, L. E., 1946: The Principles of Neurological Surgery. Philadelphia: Lea & Febiger.Google Scholar
  22. 22.
    Faupel, G., Reuben, H. J., Muller, P., et al, 1977: Double-blind study on the effects of dexamethason. In: Becks, J. W. F, Bosch, D. A., Brock, M. (eds.). Intracranial Pressure III. Berlin-Heidelberg-New York: Springer.Google Scholar
  23. 23.
    Fell, D. A., Fitzgerald, S., Moiel, R. H., Caram, P., 1975: Acute subdural hematomas: a review of 144 cases. J. Neurosurg. 42, 27–42Google Scholar
  24. 24.
    Fleischer, A. S., Payne, N. S., Tindall, G. T, 1976: Continuous monitoring of intracranial pressure in severe closed head injury without mass lesions. Surg. Neurol. 6, 31–34.PubMedGoogle Scholar
  25. 25.
    Gibbs, J. R., 1960: Middle-meningeal hemorrhage. Lancet 2, 727–731.PubMedCrossRefGoogle Scholar
  26. 26.
    Gobiet, W., Bock, W. J., Liesegang, J., et al, 1976: Treatment of acute cerebral edema with liigh dose of dexamethasone. In: Becks, J. W. F, Bosch, D. A., Brock, M. (eds.). Intracranial Pressure III, pp. 232–235. Berlin-Heidelberg- New York: Springer.Google Scholar
  27. 27.
    Goodkin, R., Szhiser, J., 1978: Sequential angiographic studies demonstrating delayed development of an acute epidural hematoma. J. Neurosurg. 48, 479–482PubMedCrossRefGoogle Scholar
  28. 28.
    Greenberg, R. P., Mayer, D. J., Becker, D. P., 1976: Correlation in man of intracranial pressure and neuroelectric activity determined by multimodality evoked potentials. In: Becks, J. W. F, Bosch, D. A., Brock, M. (eds.). Intracranial Pressure III, pp. 58–62. Berlin-Heidelberg-New York: Springer.CrossRefGoogle Scholar
  29. 29.
    Greenberg, R. R, Mayer, D. J., Becker, D. R, Miller, J. D., 1977: Evaluation of brain function in severe human head trauma with multimodality evoked potentials. I. Evoked brain injury potentials, methods and analysis. J. Neurosurg. 47, 150–162.PubMedCrossRefGoogle Scholar
  30. 30.
    Grossman, R. G., Turner, J. W., Miller, J. D., Rowan, J. O., 1975: The relationship between cortical electrical activity, cerebral perfusion pressure and cerebral blood flow during increased intracranial pressure. In: Langfitt, T. W., McHenry, L. C., Reivich, M., Wallman, H. (eds.). Cerebral Circulation and Metabohsm, pp. 232–234. Berlin-Heidelberg-New York: Springer.CrossRefGoogle Scholar
  31. 31.
    Gudeman, S. K., Miller, J. D., Becker, D. R, 1979: Failure of high-dose steroid therapy to influence intracranial pressure in patients with severe head injury. J. Neurosurg. 57, 301.Google Scholar
  32. 32.
    Gurdjian, E. S., Thomas, L. M., 1974: Traumatic intracranial hemorrhage. In: Feiring, E. H. (ed.), Brock’s Injuries of the Brain and Spinal Cord and Their Coverings, 5th Ed., pp. 203–267. New York: Springer Pubhshing Co.Google Scholar
  33. 33.
    Gutterman, P., Shenkin, H. A., 1970: Prognostic features in recovery from traumatic decerebration. J. Neurosurg. 32, 330–335.PubMedCrossRefGoogle Scholar
  34. 34.
    Hancock, D. O., 1961: Angiography in acute head injuries. Lancet 2, 745–747.PubMedCrossRefGoogle Scholar
  35. 35.
    Harris, P., 1971: Acute traumatic subdural hematomas: results of the neurosurgical care. In: Head Injuries: Proceedings of an International Symposium, pp. 321–326. Edinburgh: Churchill-Livingstone.Google Scholar
  36. 36.
    Heiskanen, O., Vapalahti, M., 1972: Temporal lobe contusion and hematoma. Acta Neurochir. (Wien) 27, 29–35.CrossRefGoogle Scholar
  37. 37.
    Hoff, J. T., Reis, D. J., 1970: Locahzation of regions mediating the Cushing response in the central nervous system of the cat. Arch. Neurol. (Chicago) 22, 228–240.CrossRefGoogle Scholar
  38. 38.
    Holbourn, A. H. S., 1943: Mechanisms of brain injuries. Lancet 2, 438–441.CrossRefGoogle Scholar
  39. 39.
    Jamieson, K. G., Yelland, J. D. N., 1972: Surgically trqated traumatic subdural hematomas. J. Neurosurg. 37, 137–149.PubMedCrossRefGoogle Scholar
  40. 40.
    Jefferson, G., 1938: The tentorial pressure cone. Arch. Neurol. Psychiat. 40, 857–876.Google Scholar
  41. 41.
    Jenkins, L. W., Marmarou, A., Lewelt, W., Becker, D. P., 1984: Increased vulnerability of the traumatized brain to early ischemia. Nato Advanced Research Workshop: Mechanisms of Secondary Brain Damage. In: Baethmann, A. (ed.), Mauls/Sterzing, Italy.Google Scholar
  42. 42.
    Jennett, B., Teasdale, G., Braakman, R., et al, 1976: Predicting outcome in individual patients after head injury. Lancet 1, 1031–1034.PubMedCrossRefGoogle Scholar
  43. 43.
    Jennett, B., Teasdale, G., Galbraith, S., et al, 1979: Prognosis in patients with severe head injury. Acta Neurochir. (Wien), (Suppl.) 28, 149–152.Google Scholar
  44. 44.
    Jennett, W. B., Stern, W. E., 1960: Tentorial herniation, the midbrain and the pupil. J. Neurosurg. 17, 598–609.PubMedCrossRefGoogle Scholar
  45. 45.
    Johnston, L, Paterson, A., 1974: Benign intracranial hypertension II. CSF pressure and circulation. Brain 97, 301–312.PubMedCrossRefGoogle Scholar
  46. 46.
    Johnston, J. H., Johnston, J. A., Jennett, B., 1970: Intracranial pressure changes following head injury. Lancet 2, 1365–1369.Google Scholar
  47. 47.
    Kaufmann, G. E., Clark, K., 1970 a: Continuous simultaneous monitoring of intraventricular and cervical subarachnoid cerebrospinal fluid pressure to indicate the development of cerebral or tonsillar herniation. J. Neurosurg. 33, 145–150.PubMedCrossRefGoogle Scholar
  48. 48.
    Kaufmann, G. E., Clark, K., 1970 b: Emergency frontal twist drill ventriculostomy. J. Neurosurg. 33, 226–227.PubMedCrossRefGoogle Scholar
  49. 49.
    Kennedy, F., Wortis, S. B., 1931: Modern treatment of increased intracranial pressure. JAMA 96, 1248–1286.Google Scholar
  50. 50.
    Kjellberg, R. N., Prieto, A., Jr., 1971: Bifrontal decompressive craniotomy for massive cerebral edema. J. Neurosurg. 34, 488–493.PubMedCrossRefGoogle Scholar
  51. 51.
    Khntworth, G. K., 1966: Secondary brain stem hemorrhage. J. Neurol. Neurosurg. Psychiatry 29, 423–425.CrossRefGoogle Scholar
  52. 52.
    Kobrine, A. J., Timmons, E., Rajjoub, J. K., et al, 1977: Demonstration of massive traumatic brain swelling within 20 minutes after injury. J. Neurosurg. 46, 256–258.PubMedCrossRefGoogle Scholar
  53. 53.
    Landig, G. H., Browder, E. J., Watson, R. A., 1941: Subdural hematoma: A study of one hundred and forty-three cases encountered during a five-year- period. Ann. Surg. 133, 170–188.Google Scholar
  54. 54.
    Langfltt, T. W., 1969: Increased intracranial pressure. Clin. Neurosurg. 16, 436–471.Google Scholar
  55. 55.
    Langfltt, T. W., Weinstein, J. D., Kassell, N. F., Gagliardi, L. J., 1964a: Transmission of increased intracranial pressure. IL Within the supratentorial space. J. Neurosurg. 21, 998–1005.CrossRefGoogle Scholar
  56. 56.
    Langfltt, T. W., Weinstein, J. D., Kassell, N. F, Simeone, F. A., 1964 b: Transmission of increased intracranial pressure. I. Within the cranio-spinal axis. J. Neurosurg. 21, 998–1005.CrossRefGoogle Scholar
  57. 57.
    Leech, P. J., Miller, J. D., 1974: Intracranial volume/pressure relationships during experimental brain compression in primates. L Pressure responses to changes in ventricular volume. J. Neurol. Neurosurg. Psychiatry 37, 1093–1098.PubMedCrossRefGoogle Scholar
  58. 58.
    Lewin, W., 1949: Acute subdural and extradural hematoma in closed head injuries. Ann. R. Coll. Surg. Engl. 5, 240–274.PubMedGoogle Scholar
  59. 59.
    Lewin, W., 1976: Changing attitudes to the management of severe head injuries. Brit. Med. J. 2, 1234–1239.PubMedCrossRefGoogle Scholar
  60. 60.
    Loew, F, Wüstner, S., 1960: Diagnose, Behandlung und Prognose der traumatischen Hämatome des Schädelinneren. Acta Neurochir. (Wien) 8 (Suppl.), 1–158.CrossRefGoogle Scholar
  61. 61.
    Löfgren, J., Zwetnow, N. N., 1973: Cranial and spinal components of cerebrospinal fluid pressure-volume curve. Acta Neurol. Scand. 49, 575–585.PubMedCrossRefGoogle Scholar
  62. 62.
    Lundberg, N., 1960: Continuous recording and control of ventricular fluid pressure in neurosurgical practice. Acta Psychiat. Neurol. Scand. 36 (Suppl.): 149, 1–193.Google Scholar
  63. 63.
    Maciver, I. N., Frew, I. J. C., Matheson, J. G., 1958: The role of respiratory insufficiency in the mortality of severe head injury. Lancet 1, 390–393.PubMedCrossRefGoogle Scholar
  64. 64.
    Marmarou, A., Shulman, K., 1976: Pressure-volume relationships-basic aspects. In: McLaurin, R. L. (ed.), Head Injuries: Second Chicago Symposium on Neural Trauma, pp. 233–236. New York: Grune & Stratton, Inc.Google Scholar
  65. 65.
    McKissock, W., Richardson, A., Bloom, W. H., 1960: Subdural hematoma: a review of 389 cases. Lancet 1, 1365–1369.CrossRefGoogle Scholar
  66. 66.
    McLaurin, R. L., Tutor, F. T., 1961: Acute subdural hematoma: review of ninety cases. J. Neurosurg. 18, 61–67.CrossRefGoogle Scholar
  67. 67.
    McNealy, D. E., Plum, F., 1962: Brain stem dysfunction with supratentorial mass lesions. Arch. Neurol. 7, 10–32.CrossRefGoogle Scholar
  68. 68.
    Mendelow, A. D., Karmi, M. Z., Paul, K. S., Fuller, G. A. G., Gilhngham, F. J., 1979: Extradural hematoma: effect of delayed treatment. Brit. Med. J. 1, 1240–1242.PubMedCrossRefGoogle Scholar
  69. 69.
    Meyer, A., 1920: Herniation of the brain. Arch. Neurol. Psychiatry 4, 387–400.Google Scholar
  70. 70.
    Miller, D., Adams, H., 1972: Physiopathology and management of increased intracranial pressure. In: Critchley, M., O’Leary, J. L., Jennett, B. (eds.), Scientific Foundation of Neurology, pp. 215–230. London: Wilham Heine- mann Ltd.Google Scholar
  71. 71.
    Miller, J. D., 1975: Volume and pressure in the craniospinal axis. Chn. Neurosurg. 22, 76–105.Google Scholar
  72. 72.
    Miller, J. D., Becker, D. P., 1982: Principles and pathophysiology of head injury. In: Youmans, J. R. (ed.). Neurological Surgery, Vol. 4, pp. 1896–1937. Philadelphia: W. B. Saunders Co.Google Scholar
  73. 73.
    Miller, J. D., Becker, D. P., Ward, J. D., Sullivan, H. G., Adams, W. E., Rosner, M. J., 1977: Significance of intracranial hypertension in severe head injury. J. Neurosurg. 47, 503–516.PubMedCrossRefGoogle Scholar
  74. 74.
    Moiel, R. H., Caram, P. E., 1967: Acute subdural hematomas: A review of eightyfour cases-a six year evaluation. J. Trauma 7, 660–666.PubMedCrossRefGoogle Scholar
  75. 75.
    Moore, M. T., Stern, K., 1938: Vascular lesions of the brain stem and occipital lobe occurring in association with brain tumors. Brain 61, 70–81.CrossRefGoogle Scholar
  76. 76.
    Osborn, A. G., 1977: Diagnosis of transtentorial herniation by cranial computed tomography. Radiology 123, 93–96.PubMedGoogle Scholar
  77. 77.
    Pagni, C. A., 1973: The prognosis of head-injured patients in a state of coma with decerebrated posture. J. Neurosurg. Sci. 17, 289–296.Google Scholar
  78. 78.
    Pasztor, E., Pasztor, A., Bodo, M., Bosch, S., 1975: The role of spinal arachnoid space in compensation of intracranial hypertension. In: Lundberg, N., Ponten, U., Brock, M. (eds.). Intracranial Pressure II, pp. 82–85. Berhn- Heidelberg-New York: Springer.CrossRefGoogle Scholar
  79. 79.
    Pazzagha, P., Frank, F., et al, 1979: Chnical course and prognosis of acute post-traumatic coma. J. Neurol. Neurosurg. Psychiatry 38, 149–154.CrossRefGoogle Scholar
  80. 80.
    Price, D. J., Knill-Jones, R., 1979: The prediction of outcome of patients admitted following head injury in coma with bilateral fixed pupils. Acta Neurochir. (Wien) 28, (SuppL), 179–182.Google Scholar
  81. 81.
    Ransohoff, J., Benjamin, M. V, Gage, E. L., Jr., Epstein, F., 1971: Hemicraniectomy in the management of acute subdural hematoma. J. Neurosurg. 34, 70–76.PubMedCrossRefGoogle Scholar
  82. 82.
    Reid, W. I., Cone, W. V, 1939: The mechanisms of fixed dilation of the pupil resulting from ipsilateral cerebral compression. JAMA 112, 2030–2034.CrossRefGoogle Scholar
  83. 83.
    Reilly, P. L., Graham, D. I., Adams, J. H., et al, 1975: Patients with head injury who talk and die. Lancet 2, 375–377.PubMedCrossRefGoogle Scholar
  84. 84.
    Richards, T., Hoff, J., 1974: Factors affecting survival from acute subdural hematoma. Surgery 75, 253–258.PubMedGoogle Scholar
  85. 85.
    Rose, J., Valtonen, S., Jennett, B., 1977: Avoidable factors contributing to death after head injury. Brit. Med. J. 2, 615–618.PubMedCrossRefGoogle Scholar
  86. 86.
    Rosenbluth, P. R., Arias, B., Quartetti, E. V., Carney, A. L., 1962: Current management of subdural hematoma: Analysis of 100 consecutive cases. JAMA 179, 759–762.PubMedCrossRefGoogle Scholar
  87. 87.
    Rossanda, M., Selenati, A., Villa, C., et al, 1973: Role of automatic ventilation in treatment of severe head injuries. J. Neurol. Sci. 77, 265–270.Google Scholar
  88. 88.
    Seelig, J. M., Becker, D. R, Miller, J. D., Greenberg, R. P, Ward, J. D., Choi, S. C., 1981: Traumatic acute subdural hematoma: major mortality reduction in comatose patients treated within four hours. N. Engl. J. Med. 304, 1511–1518.PubMedCrossRefGoogle Scholar
  89. 89.
    Shapiro, H. M., Langfltt, T. W., Weinstein, J. D., 1966: Compression of cerebral vessels by intracranial hypertension. II. Morphological evidence for collapse of vessels. Acta Neurochir. (Wien) 15, 223–233.CrossRefGoogle Scholar
  90. 90.
    Shigemori, M., Syojima, K., Nakayama, K., Kojima, T., Watanabe, M., Kuramoto, S., 1979: Outcome of acute subdural hematoma following decompressive hemicraniectomy. Acta Neurochir. (Wien) 28, (Suppl.), 195–198.Google Scholar
  91. 91.
    Sunderland, S., 1958: The tentorial notch and complications produced by herniation through that aperture. Brit. J. Surg. 45, 422–438.PubMedCrossRefGoogle Scholar
  92. 92.
    Sweet, R. C., Miller, J. D., Lipper, M., Kishore, P., Becker, D. P., 1978: The significance of bilateral abnormalities on the CT scan in patients with severe head injury. Neurosurgery 3, 16–21.PubMedCrossRefGoogle Scholar
  93. 94.
    Talalla, A., Morin, M. A., 1971: Acute traumatic subdural hematoma: a review of one hundred consecutive cases. J. Trauma 11, 111–111.CrossRefGoogle Scholar
  94. 95.
    Troupp, H., Heiskanen, O., 1963: Cerebral angiography in cases of extremely high intracranial pressure. Acta Neurol. Scand. 39, 213–223.PubMedCrossRefGoogle Scholar
  95. 96.
    Vincent, C., David, M., Thiebaud, F, 1936: Le cône de pression temporal dans les tumeurs des hemisphéres cérébraux. Sa symtomatologie; sa gravité; les traitements quii convient de lui opposer. Rev. Neurol. (Paris) 65, 536–545.Google Scholar
  96. 97.
    Ward, J. D., Becker, D. P., 1983: Neurosurgery of head injury. In: Ransohoff, J. (ed.). Modern Technics in Surgery. New York: Futura Publishing Co.Google Scholar
  97. 98.
    Ward, J. D., Becker, D. P., Marmarou, A., Choi, S. C., Miller, J. D., Wood, C., Newlon, P. G., Keenan, R., 1984: Failure of propyhlactic barbiturate coma in the treatment of severe head injury. J. Neurosurg. (Submitted).Google Scholar
  98. 99.
    Whaley, N., 1948: Acute subdural hematoma amenable to surgical treatment. Lancet 1, 213–214.CrossRefGoogle Scholar

Copyright information

© Springer-Verlag/Wien 1986

Authors and Affiliations

  • D. P. Becker
    • 1
  1. 1.Division of Neurosurgery, Department of SurgeryUniversity of California Los Angeles School of MedicineLos AngelesUSA

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