I N the past it has been common practice to class all subdural hematomas as acute or chronic. Acuteness has been estimated on the basis of elapsed time from the injury, or on the degree of associated brain damage. According to one classification, all hematomas that cause death or come to operation before the ~lst day after a cranio-cerebral injury are described as acute (Kennedy and Wortisg). In another classification, cases of subdural hematoma that still show unhealed or acute brain injury are placed in the acute group, the others being classed as chronic (Munrol~). In still another classification, an acute subdural hematoma is regarded as the result of a severe head injury, usually with a fracture of the skull and more or less extensive brain laceration, whereas a chronic subdural hematoma is considered to be unassociated with severe brain injury and the history of trauma, as a rule, is slight or absent (Peet17). As Munro 15 has pointed out, any classification of subdural hematomas into groups is artificial, for as Munro, 13 Laudig, Browder and Watson, n and King TM have clearly demonstrated, the chronic form of t raumatic subdural hematoma, so well described in the literature 3'6' s.12.14.is.19.20 is nothing more than a later variant of the acute phase. Acute hematomas become chronic only gradually, and progressive symptoms appear as the hematoma enlarges by the acquisition of further fluid, usually through the process of osmosis? ''6'~' Therefore if any classification is to be used it should clearly indicate that there is a gradual transition between the so-called acute and chronic hematomas. The purpose of this paper is to combat the present tendency to class all hematomas as acute or chronic. Such a classification is misleading and fails to emphasize the existence of a large group of subdural hematomas which, neither on clinical nor pathological grounds, can be satisfactorily classed as acute or chronic. If this is not clearly recognized, the average observer may fail to diagnose the subdural hematoma that ends in a fatality about the end of the first week to several weeks after injury. In reviewing the cases of subdural hematoma to be presented, it is apparent that they fall roughly into three classes, on the basis of the clinical course, type of hematoma found at operation, and degree of associated brain injury; namely, acute, more or less subacute, and chronic. There is con-