Delayed Traumatic Intracerebral Hemorrhage

SUMMARY A case of delayed traumatic intracerebral hemorrhage (Bollinger's “Spät‐apoplexie”) is discussed. A 2 1/2‐years old boy falls from some steps on to a road, strikes his head, develops a hematoma in the upper part, and has signs of concussion and fracture of the skull. Signs of right‐sided hemiparesis thereafter. Sudden death 23 months later after he had felt out of sorts for 3 weeks. A post‐mortem examination showed cyst formation in the brain stem (medulla oblongata) bounded by glia scar tissue containing some old blood pigment. A massive recent hemorrhage into and about the cyst. This case seems to meet all the requirements demanded for the diagnosis of “Spät‐apoplexie”. The literature of the subject is dealt with in full, particularly with reference to the genesis of these hemorrhages and the requirements to be fulfilled if this diagnosis is to be accepted as definite.