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Joseph A. Abbott, MD; Melvin D. Cheitlin, MD

JAMA. 1976;235(4):413-414.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

THE ELECTROCARDIOGRAPHIC "camel-hump" sign of Osborn,¹ a term first proposed by Harvey, is generally considered specific for hypothermia.² However, we recently saw a patient who had such a finding resulting not from hypothermia but from massive cerebral injury, indicating that this sign is nonspecific. To our knowledge, this is the second instance of central nervous system disease resulting in the camel-hump wave³ (or, more accurately, dromedary wave) and the first with postmortem confirmation.

Report of a Case

An 8-year-old boy sustained a severe head injury when struck by a motorcycle while riding his bicycle. His growth and development had been normal. On admission, he was deeply comatose, and the pupils were fixed, dilated, and unresponsive to light; no papilledema was present. The blood pressure was 122/80 mm Hg and the pulse was 140 beats per minute and regular. There were left temporal ecchymoses and lacerations of the . . . [Full Text PDF of this Article]

Author Affiliations
From the University of California Medical Service, San Francisco General Hospital, San Francisco.

Footnotes
Reprint requests to the Cardiopulmonary Unit, San Francisco General Hospital, 1001 Potrero Ave, San Francisco, CA 94110 (Dr Abbott).

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