Abstract

<h3>To the Editor:</h3> —InThe Journal, May 31, page 1751, Dr. Naffziger says, "Subdural fluid accumulation after head injury seems to have escaped the comment of pathologists and surgeons." I called attention to this matter forcibly at the California state meeting, May 17, 1922, and my observations were published in the<i>California State Journal of Medicine</i>(<b>21</b>:106 [March] 1923). This journal is published in Dr. Naffziger's home town, yet he says: "The group of subdural accumulations is of special interest and importance and has attracted no attention." As a matter of fact, Sir Charles Ballance lectured extensively on this subject in the years 1899 and 1900, although he did not suggest the expectant treatment propounded in my paper. I recollect his demonstration at that time of a number of such cases, all of which had become chronically encysted and had passed beyond the physiologic stage referred to in my

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