PENETRATING CRANIOCEREBRAL TRAUMA

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Abstract
In the spring offensive in 1951 in Korea, a 19-year-old U. S. Marine corporal was struck in the back of the head and neck by an unidentified missile. On admission to the First Neurosurgical Detachment he was comatose and did not give any signs of recognition or response. Widely dilated, staring pupils, which did react to light, and fixation of the eyes in left inferior conjugate deviation gave him an almost lifeless appearance. His neck was hyperextended. His legs were flaccid and motionless. Deep tendon reflexes and plantar responses could not be elicited in the lower extremities. There were a few purposeless movements of the left arm and irregular tonic contractions of the right arm. The blood pressure was 140/90 mm. Hg. The pulse was thready and irregular; the rate was 120 per minute. Respiratory excursions were shallow and irregular; the rate was 52 per minute. Examination of the head

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