Follow-Up Study of Head Wounds in World War II, by a. Earl Walker and Seymour Jablon (1961)

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Subject Index Abscess, brain, 9 Activation, electroencephalogram, 15 Adjustment, see also Rehabilitation correlation with Minnesota Multiphasic Personality Inventory Test, 153 economic, 24 correlation with epilepsy, 149 intelligence, 152 Roster-Injury group, 149 family, 41 correlation with neurological symptoms, 41 home, 22, 23 correlation with epilepsy, 149 intelligence, 145, 152 personality, 110 Roster-Injury group, 149 school, 165 social, 22 correlation with centers, 24 epilepsy, 149 intelligence, 145, 152 neurological symptoms, 41 personality, HO Roster-Injury group, 149 work, correlation with neurological symptoms, 41 personality, 110 Age, 6, 7 Agent, 30 blunt object, 7 bullets, 7 fall, 7 shell fragments, 7 Alcohol, correlation with epilepsy, 136, 143 intolerance to, correlation with posttraumatic syndrome, 44 Alcoholic habits, correlation with epilepsy, 126 Allergy, correlation with epilepsy, 126 Amnesia, posttraumatic, correlation with electroencephalogram, 95 Aniscoria, 66 Anorexia, associated with headache, 166 Anosmia, correlation with location of wound, 61 Antisocial, 23 Anxiety, associated with headache, 166 correlation with postraumatic syndrome, 45 Aphasia, 17, 27, 36,54, 55, 113 correlation with electroencephalogram, 83, 84, 86, 91 epilepsy, 129 Goddard test, 112 intelligence, 55, 101, 104, 105, 106, 108 intracranial foreign bodies, 58 location of wound, 55, 57 personality inventory, 109 pneumoencephalogram, 99 severity of injury, 56 unconsciousness, 105 183

Aphasia—Continued expressive, 27 global, 27 nominal, 27 incidence of, 55 Apraxia, 59, 60 Army General Classification Test scores, 101 comparison with Wechsler-Bellevue, 101 Asocial, 23 Atrophy, correlation with motor disturbances, 69 site of wounding, 71 tone, 70 Attacks, focal, incidence of, 117 focal and grand mal, incidence of, 117 grand mal, incidence of, 117 minor, incidence of, 117 minor and grand mal, incidence of, 117 psychomotor, incidence of, 117 time of first, correlation with epilepsy, 123 time of first, correlation with type of epilepsy, 124 type of, correlation with prognosis, 139 Aura, auditory, 117 automatism, 117, 118 correlation with location of wound, 118 dreamy state, 117, 118 correlation with location of wound, 118 epigastric, 118 correlation with location of wound, 118 epilepsy, 116, 117 gastric, 117 correlation with location of wound, 118 gustatory, correlation with location of wound, 118 motor, correlation with location of wound, 118 incidence of, 117 olfactory, 117, 118 correlation with location of wound, 118 somatosensory, 117 correlation with location of wound, 118 incidence of, 117 vertiginous, 118 correlation with epilepsy, 117 location of wound, 118 visual, 117, 118 correlation with location of wound, 118 Automatism, 117 Birth, history, correlation with epilepsy, 125 order, correlation with epilepsy, 125 Blind, 27 Blindness, correlation with location of wound, 63 posttraumatic syndrome, 59 severity of wounding, 62 incidence of, 61 Blunt object, 7 Brain, damage to, correlation with electroencephalogram, 94 injuries, problems of, 4 Breath-holding, correlation with epilepsy, 126 Bullets, 7 184

Bureau of Pensions, 4 U.S. Veteran's, 4 War Risk, 3 Center, Baltimore, 5, 6, 22, 23, 24, 25, 26 Boston, 5, 6, 22, 23, 24, 25, 26 Los Angeles, 5, 6, 21, 22, 23, 24, 25, 26 New York, 5, 6, 22, 23, 24, 25, 26 Centers, clinical, 5 variability, 19 CDD, 14 Closure, dural, correlation with epilepsy, 133 scalp, correlation with epilepsy, 131 Code, 15 Complaints, dizziness, 12, 25 easy fatiguability, 25 headache, 12, 25 impaired memory, 25 impaired mentation, 25 insomnia, 12, 25 irritability, 25 motor, 25 nervousness, 25 neurological, 12 correlation with intelligence, 107 personality, 109 posttraumatic syndrome, 25 sensory, 25 tinnitus, 12 Complications, 9 correlation with epilepsy, 131, 132 neurological symptoms, 40 debridement, cerebrospinal fistula, 11 fungus cerebri, 11 hematoma, 11 meningitis, 11 otorrhea, 11 rhinorrhea, 11 early, correlation with neurological symptoms, 40 immediate, correlation with neurological symptoms, 41 Concentration, impaired, associated with headache, 166 correlation with electroencephalogram, 86, 90 posttraumatic syndrome, 45 Confusion, 9 correlation with posttraumatic syndrome, 45 period of, 30 postictal, 119 Constipation, correlation with epilepsy, 136, 137, 143 Contusions, cerebral, epilepsy in, 143 Convulsions, see Epilepsy Cranioplasty, 28 correlation with electroencephalogram, 84, 85 intelligence, 107 early, correlation with epilepsy, 133, 134 secondary, correlation with epilepsy, 135 time of, 10 correlation with epilepsy, 135

Cranium, defect, 6, 7, 8, 17, 30 correlation with epilepsy, 128 diameter of, 30 correlation with epilepsy, 127 pncumoencephalogram, 98 Cranium, prehistoric, 1 Damage, brain, severity of, correlation with intelligence, 110 Deafness, correlation with location of wounding, 65 severity of wounding, 64 Debridement, additional, 31 causes of, 10 abscess, 10 draining sinus, 10 infection, 10 intracranial bleeding, 10 complications of, 11, 31 cerebrospinal fistula, 11 correlation with electroencephalogram, 85 fungus cerebri, 11 hematoma, 11 meningitis, 11 otorrhea, 11 rhinorrhea, 11 first, 31 second, 31 time of, 10 correlation with epilepsy, 131 Depression, association with headache, 166 correlation with neurological symptoms, 41 postraumatic syndrome, 45, 46 Deterioration, correlation with hemiplegia, 104 impaired memory, 107 impaired mentation, 107 neurological abnormality, 107 neurological deficit, 107 neurological dysfunction, 107 postraumatic syndrome, 107 rehabilitation, 145 Deterioration, abnormal, 101 correlation with aphasia, 104 period of unconsciousness, 105 Dilatation, ventricular, pneumoencephalogram in, 99 Diplopia, correlation with posttraumatic syndrome, 59 severity of injury, 62 incidence of, 61 Disposition, 14 Disturbances, gastric, with headache, 166 Dizziness, correlation with electroencephalogram, 86, 90 intelligence, 107 location of wounding, 65 personality, 111 posttraumatic syndrome, 45 early and late, 37 with headache, 166 Dreamy state, 117 Dyesthesias, 73 1M

Electroencephalogram, 77, 90, 92, 94 abnormal, 13, 14 abnormalities, 82 site of, 15 activation, 15 asymmetry, 14 borderline, 13 classification of, 80 correlation with abnormal deterioration, 93 age at injury, 80 aphasia, 83, 84, 86, 91 aura, 93 cerebellar syndrome, 91 cerebral damage, 94 changes in personality, 86 clinical abnormalities, 90 complications of debridement, 85 complications of wounding, 82 compound comminuted fractures, 82 cortical sensory impairment, 86, 91 cranial nerve palsy, 91 cranioplasty, 84, 85 depth of wound, 83 dizziness, 86, 90 easy fatiguability, 86, 90 economic status, 150 focal attack, 92 fungus cerebri, 82, 85 generalized attacks, 92 headache, 86, 100 hemianopsia, 83, 84, 91 hemiparesis, 86, 91 hemiplegia, 84, 86, 91 impaired concentration, 90 impaired memory, 85, 86, 90 impaired mentation, 85, 86, 90 infection, 85 insomnia, 86, 90 intracranial foreign bodies, 84 irritability, 86, 90 lack of concentration, 86 meningitis, 85 mental impairment, 91 minor attack, 92 nervousness, 90 neurological abnormalities, 86 neurological deficit, 83, 84, 85 neurological status, 91 paraparesis, 86 posttraumatic syndrome, 90 psychomotor epilepsy, 92 region wounded, 82 rehabilitation, 88, 145 Roster-Injury group, 81 sensory disturbances, 86 severity of wounding, 81, 82 social rehabilitation, 90 social status, 150 spasticity, 86 tinnitus, 86 visual disturbances, 86 visual field defects, 86 vocational rehabilitation, 90 vocational status, 150 Wechsler-Bellevue test, 93 dysrhythmia, 13, 14 early, 88, 89 630802—62 14 ' *7

Electroencephalogram—Continued epilepsy, 91, 92 fast waves, 14 focal abnormalities, 81, 82 in epilepsy, 91 focal paroxysmal disturbances, 95 generalized abnormalities, 81 in epilepsy, 91 generalized changes in, 91 characteristics of, 80 hyperventilation, 14, 92 in men having and not having attacks, 93 in penetrating wounds, 94 interpretation, variability in, 77 irregularity, 14 late, 88, 89 normal, 13 paroxysmal fast or spiky waves, 14 paroxysmal fast waves, 14 paroxysmal slowing in epilepsy, 91 paroxysmal slow waves, 14 reader variations, 79 serial, 94, 95 slowing in epilepsy, 91 slow waves, 14, 15 spike and wave, 14 spikes, 14 spindles, 14 Employment, correlation with pneumoencephalogram, 98 Enccphalopathy, posttraumatic, 6 traumatic, pneumoencephalogram in, 100 Enuresis, correlation with epilepsy, 126 Epilepsy, 115 age of patient, 125 annual incidence of, 139 aura, 116, 117 automatism, 117 correlation with age at injury, 125 alcoholic habits, 136 allergic conditions, 126 birth history, 125 birth order, 125 breath holding, 126 closed head injuries, 130 complications, 132 constipation, 137 cranial defect, 128 depth of scalp wound, 128 depth of wound, 128 dural closure, 133 early cranioplasty, 134 economic adjustment, 149 economic status, 147 electroencephalogram, 91 enuresis, 126 fainting, 127 foreign bodies, 129 frontal wound, 130 head injuries, 126 hemianopsia, 129 hemiparesis, 129 hemiplegia, 129 home adjustment, 149 laceration of scalp, 130 location of wound, 130 migraine, 127 188

Epilepsy—Continued correlation with—Continued nervous disorders, 127 neurosis, 127 occipital wound, 130 parietal wound, 130 penetrating wound, 130 perforating wounds, 130 period of unconsciousness, 128 pneumoencephalogram, 98 previous illnesses, 126 primary healing, 132 psychopathic traits, 127 psychosis, 127 region of wound, 130 rehabilitation, 145 Roster-Injury group, 148, 149 scalp closure, 131 secondary cranioplasty, 135 secondary healing, 132 sensory deficit, 129 social adjustment, 149 social status, 147 surgeon, 134 syphilis, 126 temper tantrums, 126 temporal wound, 130 time of cranioplasty, 135 first attack, 123, 124 primary debridement, 131 type of plate, 135 wound, 119, 122, 130 vocational status, 147, 148 wound healing, 132 wound of brain, 128 cranium, 128 dura mater, 128 ventricle, 128 course of, 138 dreamy state, 117 early prognosis of, 138 electroencephalography in, 91 factors in, 125, 127 genetic, 125, 126 familial, 126 focal, correlation with electroencephalogram, 92 gastric aura, 117 generalized, correlation with electroencephalogram, 9<! idiopathic, correlation with electroencephalogram, 95 incidence of, 116, 119 correlation with injury score, 32 Roster-Injury group, 33 minor, correlation with electroencephalogram, 92 motor aura, 117 occurrence of, 116 onset, 122, 123 posttraumatic, 1, 17, 18, 28 course of, 137 factors in, 133 prediction of, 95, 96 prognosis, 140 factors in, 139 psychomotor, correlation with electroencephalogram, 92 repair of wound in, 131 T89

Epilepsy—Continued fomatotensory aura, 117 treatment of, 142 types, 116 correlation with electroencephalogram, 92 incidence of, 117 without aura, 116 with vertiginous aura, 117 Euphoria, correlation with posttraumatic syndrome, 45, 46 Examination, followup, 14 data from claims folder, 16 differences in respondents, and non-respondents, 16 lack of cooperation, 16 number responding, 16 Fainting, correlation with epilepsy, 127 Fall, 7 Fatiguability, correlation with electroencephalogram, 86 early and late, 37 easy, correlation with clinical symptomatology, 111 electroencephalogram, 90 intelligence, 107 Federal Board of Vocational Education, 3 Fistula, cerebrospinal, 9 Focus, epileptogenic, electroencephalography in, 96 Followup, time of, 36 Baltimore, 21 Boston, 21 Los Angeles, 21 New York, 21 Followup Agency, National Research Council, 15 variability between centers, 19 Foreign bodies, bone, 11 correlation with epilepsy, 129 intracranial, 11, 31 correlation with aphasia, 58 deterioration, 104 electroencephalogram, 84 intelligence, 104, 106 neurological symptoms, 40 metal, 11 type of, 11 Fractures, non-penetrating, correlation with personality inventory, 109 Fungus cerebri, correlation with electroencephalogram, 85 pneumoencephalogram, 97 Gastric, aura, 117 disturbances in headache, 166 Handedness, correlation with aphasia, 55 side of lesion and aphasia, 54, 55 left, correlation with aphasia, 54 Headache, 24 associated with anorexia, 166 anxiety, 106 depression, 166 difficulty in concentration, 166 dizziness, 166 general weakness, 166 hypersensitivity to noise, 166 irritability, 166 nausea, 166 190

Headache—Continued associated with photophobia, 166 tinnitus, 166 vasomotor phenomena, 166 vomiting, 166 correlation with electroencephalogram, 86, 90 intelligence, 107 personality, 111 pneumoencephalogram, 100 posttraumatic syndrome, 45 severity of wounding, 38 duration, 166 early and late, 37 frequency, 166 onset of, 165 postictal, 119 posttraumatic, 165 precipating, contributing factors in, 167 pretraumatic, 165 prodromata, 166 relief of, 167 severity of, 166 treatment, 167 Head Injuries, chronic ill-effects of, 1,2 epilepsy in, 2 lethal, 2 physiology of, 1 prehistoric treatment of, 1 previous, 21 severity of, correlation with aphasia, 56 auditory disturbances, 64 neurological disturbances, 62 olfaction, 60 unconsciousness in, 1 Healing, primary, correlation with epilepsy, 132 secondary, correlation with epilepsy, 132 Hearing, 24 correlation with severity of wounding, 64, 65 disturbances, incidence of, 63 recovery in, 64 impaired, correlation with severity of wounding, 64, 65 incidence of, 63 Hemianopsia, 36 correlation with electroencephalogram, 83, 84, 91 epilepsy, 129 GoddardTest, 112 intelligence, 104, 106, 108 personality inventory, 109 pneumoencephalogram, 99 posttraumatic syndrome, 59 electroencephalographic changes in, 91 homonymous, 27, 28 incidence of, ipsilateral, 61 Hemiparesis, correlation with deterioration, 104 electroencephalogram, 86, 91 epilepsy, 129 GoddardTest, 112 intelligence, 108 period of unconsciousness, 105 1*1

Hemiparesis, correlation with—Continued personality inventory, 109 pneumoencephalogram, 99 post traumatic syndrome, 51 Hemiplegia, 17, 36 correlation with deterioration, 105 electroencephalogram, 84, 86 epilepsy, 129 GoddardTest, 112 intelligence, 105, 106, 108 period of unconsciousness, 105 personality inventory, 109 pneumoencephalogram, 97, 99 Wechsler-Bellevue test, 101 electroencephalographic changes in, 91 Hemorrhage, intracranial, 9 Hernia, cerebral, 9 Home, National, 3 Naval, 3 Soldier's 3 Hyperventilation, 92 Hypesthesia, trigeminal, 66 Hypochondriasis, correlation with neurological symptoms, 41 Hysteria, correlation with neurological symptoms, 41 Illness, previous, allergic conditions, 22 breath holding, 22 childhood diseases, 22 enuresis, 22 febrile convulsions, 22 meningitis, 22 syphilis, 22 temper tantrums, 22 systemic, correlation with epilepsy, 126 Impairment, mental, 36 correlation with pneumoencephalogram, 99 Impotence, 73, 74 Infection, correlation with electroencephalogram, 85 Injuries, closed, correlation with epilepsy, 130 head, previous, correlation with epilepsy, 126 Injury, age at, correlation with epilepsy, 125 craniocerebral, general effects of, 75 score, 28, 29, 31 correlation with epilepsy, 32, 33 .. .- rosters, 33 factors in, 30 severity of, correlation with epilepsy, 136 ;: ;. - :. rehabilitation, 145 Insomnia, correlation with clinical symptomatology, 111 electroencephalogram, 86, 90 intelligence, 107 early and late, 37 Institut zur Erforschung der Folgeerscheinungen von Hirnverletzungen, 4 Insurance, War Risk, 3 Intelligence, 108 correlation with aphasia, 55, 106, 108 Army General Classification Test, 101 cerebellar syndrome, 108 cortical sensory impairment, 108 cranial nerve palsy, 108 . • ;- . ; 192

Intelligence—Continued correlation with—Continued dizziness, 107 easy fatiguability, 107 electroencephalogram, 93 Goddard Test, 113 headache, 107 hemianopsia, 106, 108 hemiparesis, 106, 108 hemiplegia, 105, 106, 108 impaired memory, 107 mentation, 107 insomnia, 107 intracranial foreign bodies, 106 irritability, 107 mental impairment, 108 nervousness, 107 neurological abnormalities, 106, 107, 108 neurological deficit, 105 neurological symptoms, 41, 107 paraparesis, 106 period of unconsciousness, 105 personality changes, 106 personality inventory, 111 pneumoencephalogram, 100 post train untic syndrome, 46, 107 rehabilitation, 145 sensory disturbances, 106 spasticity, 106 visual disturbances, 106 visual field defect, 106 Wechsler-Bellevue test, 101 wounding, 107 deterioration, correlation with aphasia, 55 high, 101 intermediate, 101 low, 101 correlation with personality, 110 prognosis of epilepsy, 140 Wechsler-Bellevue test in, 101 Interview, telephone, 18, 19 Irritability, 37 associated with headache, 166 correlation with clinical symptomatology, 111 electroencephalogram, 86, 90 intelligence, 107 posttraumatic syndrome, 45, 46 Judgment, impaired, correlation with posttraumatic syndrome, 45, 46, 48,49 Laceration, brain, correlation with neurological symptoms, 40 scalp, correlation with epilepsy, 130 Hs scale, 108 personality inventory, 109 Letters, form, 177, 178, 179 Libido impaired, 74 increased, 74 Maladjustment, social, correlation with personality inventory, 109 Materials, 5 Medical Statistics Division, O.S.G., 5 Medication, anticonvulsant, 141 Memory, correlation with posttraumatic syndrome, 50, 51, 53 impaired, 24 correlation with 193

Memory—Continued deterioration, 107 electroencephalogram, 85, 86, 90 intelligence, 104, 107 early and late, 37 score, 112 tests of, 25, 27 Meningitis, 9 correlation with electroencephalogram, 85 Mentality, deterioration of, correlation with posttraumatic syndrome, 43, 46, 48 development, correlation with epilepsy, 126 disturbances, correlation with sexual disturbances, 75 impairment of, correlation with electroencephalogram, 91 GoddardTest, 112 intelligence, 108 Mentation, 24 impaired, correlation with clinical symptomatology, 111 deterioration, 107 electroencephalogram, 85, 86, 90 intelligence, 107 posttraumatic syndrome, 45, 46, 48, 90 early and late, 37 Methods, 5 Migraine, correlation with epilepsy, 127 Minnesota Multiphasic Personality Inventory Test, 41 Monoparesis, 66 Motor, deficit, correlation with epilepsy, 129 power, disturbances of, 68 correlation with atrophy in, 71 location of wounding in, 68 tone in, 70 impairment of, 67, 68 Nausea, associated with headache, 166 Nerve, cranial, 3rd, 66 5th, 66 7th, 66 9th, 66 10th, 66 cranial, palsy, 36 correlation with electroencephalogram, 91 Goddard Test, 112 intelligence, 108 sexual desire, 75 involvement of, 65 Nervous disorders, correlation with epilepsy, 127 familial, 22 fainting, 22 migraine, 22 neurosis, 22 psychopathic, 22 psychosis, 22 Nervousness, and posttraumatic syndrome, 41 correlation with clinical symptomatology, 111 electroencephalogram, 90 intelligence, 107 posttraumatic syndrome, 45 194

Nervousness—Continued early and late, 37 aphasia, 13 correlation with deterioration, 105, 107 electroencephalogram, 86, 90 Goddard test, 112 intelligence, 105, 106, 108 personality inventory, 109 pneumoencephalogram, 99 hemianopsia, 13 hemiparesis, 13 hemiplegia, 13 other field defect, 13 spastic! ty, 13 Neurological defects, 9 aphasia, 10 deafness, 10 facial paralysis, 10 hemianopsia, 10 hemiplegia, 10 monoplegia, 10 quadrant anopsia, 10 quad r i pi eg i a, 10 triplegia, 10 Neurological deficit, 31, 35, 112 correlation with electroencephalogram, 83, 84, 85 neurological symptoms, 40 personality inventory, 109 pneumoencephalogram, 97 posttraumatic syndrome, 51 impairment, 128 organic, correlation with Minnesota Multiphasic Personality Inventory test, 108 symptomatology, correlation with intelligence, 107 Neuroses, conflict, 39 correlation with epilepsy, 127 Noise, hypersensitivity to, associated with headache, 166 Observer error, 20 Olfaction, disturbances of, 59 correlation with location of wound, 61 symptoms of, 61 Opiates, for headache, 167 Otorrhea, 9 Palsy, cranial nerve, correlation with deterioration, 107 pneumoencephalogram, 99 Paracas, 1 Paralysis, Todds, 119 Paraparesis, correlation with electroencephalogram, 86 intelligence, 106 Parathesias, 73 correlation with sensory disturbances, 70 Parosmia, correlation with location of wound, 61 Pensions, 3 Personality, alterations in, correlation with posttraumatic syndrome, 46 changes in, correlation with electroencephalogram, 86 intelligence, 106 correlation with aphasia, 109 clinical symptomatology, 111 closed head wound, 109 199

Personality—^Continued correlation with—Continued hemianopsia, 109 hemiparcsis, 109 hemiplegia, 109 home adjustment, 110 intelligence, 111 neurological deficit, 109 non-penetrating fractures, 109 penetrating wounds, 109 perforating wounds, 109 period of unconsciousness, 110 social adjustment, 110 type of wound, 109 Wechsler-Bellevue test, 110 work adjustment, 110 work status, 147 Personality disorder, posttraumatic, 6 Petit inal, posttraumatic, 96 Phase of incubation or contemplation, 39 Photophobia, associated with headache, 166 Physical development, correlation with epilepsy, 126 Pilgrims, pensions for, 2 Plate, type of, correlation with epilepsy, 135 Pneumoencephalogram, 13, 96, 97, 98, 100 correlation with aphasia, 99 characteristics of wounding, 98 cortical sensory impairment, 99 cranial defect, 97, 98 cranial nerve palsy, 99 depth of wound, 98 electroencephalogram, 87 employment, 98 epilepsy, 97, 98, 99 fungus cerebri, 97 headache, 100 hemianopsia, 99 hemiparesis, 99 hemiplegia, 97, 99 intelligence, 100 intracranial bone, 97 intracranial metal, 97 mental impairment, 99 neurological complaints, 97 neurological deficit, 97 neurological disability, 97 period of unconsciousness, 98 posttraumatic syndrome, 97 unconsciousness, 97 Wechsler-Bellevue test, 98 generalized ventricular dilatation, 13 in fungus cerebri, 97 local ventricular dilatation, 13 posttraumatic findings, 100 traumatic encephalopathy, 100 unilateral ventricular dilatation, 13 ventricular changes in, 100 Pneumoencephalography, 77, 99 Psychasthenia, correlation with neurological symptoms, 41 sexual disturbances, 73 Psychometry, 77, 100 Psychopathic traits, correlation with epilepsy, 127 Psychosis, correlation with epilepsy, 127 196

Reflex, changes in, correlation with motor disturbances, 69 light, 66 Rehabilitation, (see also) adjustment, correlation with Minnesota Multiphasia Personality Inventory Test, 153 economic, 24, 145 correlation with aphasia, 55 epilepsy, 149 intelligence, 152 Roster-Injury group, 149 family, correlation with neurological symptoms, 41 home, 22, 23 correlation with aphasia, 55 electroencephalogram, 88 epilepsy, 149 intelligence, 145, 152 personality, 110 Roster-Injury group, 149 school, 165 social, 22, 144 correlation with aphasia, 55 centers, 24 electroencephalogram, 88, 90 epilepsy, 149 electroencephalogram, 90 intelligence, 145, 152 neurological symptoms, 41, 144 personality, 110 posttraumatic syndrome, 44 Roster-Injury group, 149 vocational, correlation with electroencephalogram, 90 work, correlation with aphasia, 55 neurological symptoms, 41 Respondents vs nonrespondents, 17 et seq. Rhinorrhea, 9 Roster, Army, 5, 31 composition of, 6 selection of, 5 et seq. VA, 6, 31 Rosters, Army, correlation with epilepsy, 33 VA, correlation with epilepsy, 33 Roster-Injury Group, 31, 33 correlation with economic adjustment, 149 epilepsy, 148, 149 home adjustment, 149 social adjustment, 149 Saint Bartholomew's Hospital, 2 Sample, characteristics of, 6 Sampling, 5 Scale, hs, correlation with type of wound, 108 Scalp, lacerations of, 7 Score, Army General Classification Test, 101 injury, 28, 29, 30, 31,32, 33 schizophrenia, correlation with neurological symptoms, 41 Scotomata, incidence of, 61 Sedatives, for headache, 167 Seizures, focal, multiple, correlation with wound, 130 major, correlation with region wounded, 130

Sensation, cortical impairment. 36 correlation with electroencephalogram, 86, 91 GoddardTest, 112 intelligence, 108 pneumoencephalogram, 99 deep, disturbances of, 71 deficit, correlation with epilepsy, 129 disturbances of, 67, 71, 72 correlation with electroencephalogram, 86 intelligence, 105 location of wounding, 72 paresthesia, 70 parietal wounds, 72 period of unconsciousness, 105, 106 severity of wounding, 72 superficial, 68 disturbances of, 71 Serial 7 Test, 27 Severity of injury, correlation with economic status, 146 social status, 146 vocational status, 146 Sexual disturbances, 74 correlation with cranial nerve palsies, 75 mental disturbances, 75 posttraumatic syndrome, 75 psychasthenias, 73 severity of wounding, 74 Shell fragments, 7 Skull, see Cranium Social misfits, correlation with personality inventory, 109 Soldiers, Disabled, pensions for, 2 Spasticity, correlation with electroencephalogram, 86 intelligence, 106 motor disturbances, 69 Speech, 24 disturbances of, 56, 57, 58 Status, economic, correlation with electroencephalogram, 150 severity of injury, 146 mental, 25 abnormal finding not due to head wound, 26 confusion, 26 correlation with posttraumatic syndrome, 45, 47, 48, 49 depression, 26 euphoria, 26 impaired judgment, 26 impaired mentation, 26 irritability in, 26 lack of concentration, 26 uncooperative, 26 wisecracking, 26 neurological, 36 headache, 36 posttraumatic syndrome, 36 social, correlation with electroencephalogram, 150 epilepsy, 147 severity of injury, 146 vocational, correlation with electroencephalogram, 150 epilepsy, 147, 148 severity of injury, 146 198

Status—Continued work, 19, 21 correlation with neurological symptoms, 43 Wechsler-Bellevue Intelligence Test, 151 location, Baltimore, 23 Boston, 23 Los Angeles, 23 New York, 23 Stereognosis, 71 Surgeon, correlation with epilepsy, 134 Symptomatology, 24 clinical, correlation with dizziness, 111 easy fatiguability, 111 electroencephalogram, 90 Goddard Test, 112 headaches, 111 impaired mentation, 111 insomnia, 111 irritability, 111 nervousness, 111 personality, 111 pneumoencephalogram, 98 posttraumatic syndrome, 111 prognosis of epilepsy, 140 neurological, at followup, 43 neurological, correlation with character of wound, 40 social adjustment, 43 work progress, 43 Symptoms, general, 26 mental, correlation with posttraumatic syndrome, 45 neurological, 112 correlation with intelligence, 104 posttraumatic, correlation with electroencephalogram, 95 Syndrome, cerebellar, 36 correlation with deterioration, 107 electroencephalogram, 91 Goddard Test, 112 intelligence, 108 posttraumatic, 12, 17, 18, 24, 41, 63 correlation with clinical symptomatology, 111 deterioration, 107 electroencephalogram, 90 Goddard Test, 112 intelligence, 41, 107 intolerance to alcohol, 45 mental deterioration, 43 pneumoencephalogram, 98 prognosis of epilepsy, 140 severity of wound, 38, 39 sexual disturbances, 75 social adjustment, 44 early and late, 36, 37 System, motor, 66, 69 Syphilis, correlation with epilepsy, 126 Temper tantrum, correlation with epilepsy, 126 Test, Army General Classification, correlation with depth of wound, 103 Wechsler-Bellevue, 103 199

Test—Continued Goddard Form Board, 111 correlation with aphasia, 112 cerebellar syndrome, 112 clinical symptomatology, 112 cortical sensory impairment, 112 cranial nerve palsy, 112 hemianopsia, 112 hemiparesis, 112 hemiplegia, 112 intelligence, 113 mental impairment 112 _ neurological abnormalities, 112 posttraumatic syndrome, 112 memory, 25 Minnesota Multiphasic Personality Inventory, 110, 111 correlation with adjustment, 153 neurological deficit, 108 neurological symptoms, 41 posttraumatic syndrome, 49 factors in, 42 Serial 7, 25 . correlation to posttraumatic syndrome, 7, 4o, DA 0J Wechsler-Bellevue, 43, 100 correlation with Army General Classification Test, 103 economic adjustment, 152 home adjustment, 152 intelligence, 110 pneumoencephalogram, 98 posttraumatic syndrome, 48, 53 prognosis of epilepsy, l4l rehabilitation, 145 social adjustment, 152 work status, 151 wounding, 107 relationship to Army General Classification Test, 10^ Tinnitus, associated with headache, 166 correlation with electroencephalogram, 86 location of wounding, 65 severity of wounding, 64 incidence of, 63 Tone, correlation with atrophy, 70 motor power, 69 Unconsciousness, correlation with intelligence, 103 ^ . neurological symptoms, 41 personality inventory, 109 pneumoencephalogram, 97, 98 duration of, correlation with epilepsy, 127 period of, 30 correlation with electroencephalogram, 83 epilepsy, 128 neurological symptoms, 40 personality, 110 pretraumatic, 20 traumatic, 9 Uncooperativeness, correlation with posttraumatic syndrome, United States Public Health Service, 3 Urination, disturbances of, 73 Vasomotor phenomena, associated with headache, 166 200

Ventricle, abnormality of, 100 dilatation of, pneumoencephalogram in, 99 Vertigo, generalized, correlation with electroencephalogram, 87 aura, 117 correlation with location of wounding, 65 Veterans Administration, 4, 5, 6 Claim Ratings, 18 Disability Rating, 18 Veterans Bureau. 3. 4 Vision, 24, 27 abnormalities of, 26, 61 blurred, correlation with location of wound, 63 posttraumatic syndrone, 59 severity of injury, 62 incidence of, 61 disturbances of, correlation with electroencephalogram, 86 intelligence, 106 location of wound, 63 posttraumatic syndrome, 59 severity of wounding, 62 prognosis in, 63 field defect, correlation with electroencephalogram, 86 intelligence, 106 location of wound, 63 severity of injury, 62 incidence of, 61 recovery of, 59 Visual aura, 117 Vomiting, with headache, 166 Wandering ventricle, 99 Wars, Boer, 2 Franco-Prussian, 2 Revolutionary, 2, 3 Russo-Japanese, 2 Weakness, 69 general, with headache, 166 Wisecracking, correlation with posttraumatic syndrome, 45 Work, correlation with personality inventory, 109 Wound, brain, correlation with epilepsy, 128 closed, correlation with Hs scale, 108 personality inventory, 109 complications of, correlation with intelligence, 107 prognosis of epilepsy, 139 contrecoup and epilepsy, 143 cranium, correlation with epilepsy, 128 depth of, 7, 8, 30 correlation with Army General Classification Test, 103 electroencephalogram, 83 epilepsy, 128 pneumoencephalogram, 98 prognosis of epilepsy, 139 dura mater, correlation with epilepsy, 128 dural penetrating, electroencephalographic findings of, 94 fractures, compound, correlation with epilepsy, 130 frontal, correlation with epilepsy, 130 901

Wound—-Continued healing, correlation with epilepsy, 132 neurological symptoms, 40 laceration of scalp, correlation with epilepsy, 130 location of, correlation with aphasia, 55 aura, 117 dreamy state aura, 118 gastric aura, 118 gustatory aura, 118 motor aura, 118 neurological symptoms, 40 olfactory aura, 118 prognosis of epilepsy, 139 sensory aura, 118 vertiginous aura, 118 visual aura, 118 neurological deficit, correlation with prognosis of epilepsy, 139 occipital, correlation with epilepsy, 130 parietal, correlation with epilepsy, 130 penetrating, 17 correlation with electroencephalogram, 81 epilepsy, 130 personality inventory, 109 perforating, 17 correlation with epilepsy, 130 personality inventory, 109 regions, 30 correlation with intelligence, 107 repair of, epilepsy, 131 scalp, correlation with epilepsy, 128 second, 7, 30 temporal, correlation with epilepsy, 130 time of debridement, correlation with prognosis of epilepsy, 139 type of, 7, 8, 30 correlation with epilepsy, 119, 122,130 intelligence, 103, 104 personality inventory, 109 ventricular, correlation with epilepsy, 128 Wounding, cerebral, correlation with postraumatic syndrome, 51 depth of, correlation with epilepsy, 127 location of, correlation with aphasia, 57 auditory disturbances, 65 post traumatic syndrome, 51 visual disturbances, 63 severity of, correlation with epilepsy, 127 posttraumatic syndrome, 47, 50, 52 time of, and cranioplasty, 133 202