Tomahawk Head Injury

AMA Arch Intern Med. 1958;102(5):820-822. doi:10.1001/archinte.1958.00260220136017.
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Many a provincial easterner of the stayat-home variety still pictures the West and Middle-West as teeming with buffalo, stage coaches, and Indians. Recent experience with a tomahawk injury indicates that this bemused and fanciful notion is not utterly outside the realm of reality. The purpose of this paper is to report a tomahawk injury which occurred on the contemporary scene.

Report of Case  The patient, a 57-year-old merchant, was first examined on Sept. 20, 1955. He complained of headache and paralysis of both arms. He had immigrated to America at the age of 12 years; he operated a combined grocery store-filling stationtrailer camp establishment. His health in the past had been excellent, except for an episode of back pain and "sciatica" in both lower extremities in 1953, treated conservatively with good results.In early June, 1955, approximately two weeks prior to the onset of the present symptoms, the patient was


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