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October 13, 1928, Vol 91, No. 15 >
ARTICLE | October 13, 1928

PUNCH DRUNK FREE

HARRISON S. MARTLAND, M.D.
[+] Author Affiliations

Read before the New York Pathological Society, at the New York Academy of Medicine, New York, May 10, 1928.


NEWARK, N. J.

From the pathologic department of the City Hospital, and the office of the chief medical examiner of Essex County, N. J.


JAMA. 1928;91(15):1103-1107. doi:10.1001/jama.1928.02700150029009
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References

For some time fight fans and promoters have recognized a peculiar condition occurring among prize fighters which, in ring parlance, they speak of as "punch drunk." Fighters in whom the early symptoms are well recognized are said by the fans to be "cuckoo," "goofy," "cutting paper dolls," or "slug nutty."

Punch drunk most often affects fighters of the slugging type, who are usually poor boxers and who take considerable head punishment, seeking only to land a knockout blow. It is also common in second rate fighters used for training purposes, who may be knocked down several times a day. Frequently it takes a fighter from one to two hours to recover from a severe blow to the head or jaw. In some cases consciousness may be lost for a considerable period of time.

The early symptoms of punch drunk usually appear in the extremities. There may be only an occasional

REFERENCES

1 +
Cassasa, C. B.:  Multiple Traumatic Cerebral Hemorrhages , Proc. New York Path. Soc. 24: 101 ( (Jan.-May) ) 1924;.
2 +
Osnato, Michael; and Giliberti, Vincent:  Postconcussion Neurosis —Traumatic Encephalitis , Arch. Neurol. & Psychiat. 18: 181-211 ( (Aug.) ) 1927;.
3 +
Martland, H. S., and Beling, C. C.: Traumatic Cerebral Hemorrhage , read before the American Neurological Association in May, 1927;, at Atlantic City, N. J.
4 +
Cornwall, L. H.: Personal communication to the author.
5 +
Bissell, W. W.:  Pulmonary Fat Embolism: A Frequent Cause of Postoperative Surgical Shock , Surg. Gynec. Obst. 25: 8-22 ( (July) ) 1917;.
6 +
Shinkai, T.:  Experimental Fat Embolism , Beitr. z. path. Anat. u. z. allg. Path. 78:109 ( (Aug.) ) 1927;.
7 +
Miller, G. G.:  Cerebral Concussion , Arch. Surg. 14: 891 ( (Jan.) ) 1927;.

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1 +
Cassasa, C. B.:  Multiple Traumatic Cerebral Hemorrhages , Proc. New York Path. Soc. 24: 101 ( (Jan.-May) ) 1924;.
2 +
Osnato, Michael; and Giliberti, Vincent:  Postconcussion Neurosis —Traumatic Encephalitis , Arch. Neurol. & Psychiat. 18: 181-211 ( (Aug.) ) 1927;.
3 +
Martland, H. S., and Beling, C. C.: Traumatic Cerebral Hemorrhage , read before the American Neurological Association in May, 1927;, at Atlantic City, N. J.
4 +
Cornwall, L. H.: Personal communication to the author.
5 +
Bissell, W. W.:  Pulmonary Fat Embolism: A Frequent Cause of Postoperative Surgical Shock , Surg. Gynec. Obst. 25: 8-22 ( (July) ) 1917;.
6 +
Shinkai, T.:  Experimental Fat Embolism , Beitr. z. path. Anat. u. z. allg. Path. 78:109 ( (Aug.) ) 1927;.
7 +
Miller, G. G.:  Cerebral Concussion , Arch. Surg. 14: 891 ( (Jan.) ) 1927;.

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