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JAMA. 1931;96(3):172-173. doi:10.1001/jama.1931.02720290016004.
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The tremendous increase in cranial injuries since the advent of the more rapid means of transportation, such as the automobile and airplane, has served to demonstrate the inadequacy of our knowledge of the nature, extent and treatment of certain of these injuries.

We are reporting the following case because of the great damage sustained by the cerebrum with at least temporary infection, the associated introduction of air into the ventricles, operation and complete recovery.

REPORT OF CASE  W. F., a white man, aged 20, was admitted to the Lancaster General Hospital, Sept. 29, 1928, following an automobile accident. There was profuse nasal bleeding; both eyes were ecchymotic and numerous lacerations covered his face and hands. He was unconscious and very restless. Roentgenograms showed multiple fractures of the frontal bones with lines of fracture extending into both frontal sinuses and both orbital plates (figs. 1 and 2).One week elapsed before


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