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CONCUSSION OF THE BRAIN, OR "PUNCH DRUNK"

JAMA. 1929;92(4):314-315. doi:10.1001/jama.1929.02700300038013.
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Concussion of the brain or spinal cord has always been shrouded with considerable mystery because the mechanism of its production has not been understood. For years physicians have believed that concussion may be solely a functional change without any proper basis in structural alteration. Founded on such ideas, fraudulent claims for alleged disability following concussion of the central nervous system have enjoyed a long and amazing prosperity. Consequently it is not surprising that the wide diffusion of reliable information about this subject accomplished by the recent publication in The Journal of the article by Martland 1 has resulted in much favorable comment. As Martland acknowledges, pathologists engaged in medicolegal work have long been familiar with the perivascular intracerebral hemorrhages that he has illustrated and described. To them concussion of the brain has been simply another way of saying contusion or bruising of the brain. They have been accustomed to finding

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