The sole issue raised by the instant canses is whether, under R. C. 4123.01(C), a plaintiff must prove that unusual circumstances preceded, his injury before that injury may be found compensable.
R. C. 4123.01(C) provides:
“ ‘Injury’ includes any injury, whether, caused by external aceidéntal means or accidental in character and result, received in the course of and arising out of, the injured employee’s employment.”
The portion of the statute that raises the question of whether a plaintiff must prove that unusual circumstances preceded his injury in order to receive compensation is the phrase “whether caused by external, accidental means or accidental in character and result * * *.” It is established law in Ohio that the prime aim of statutory construction is to. determine legislative intent. (Henry v. Central Natl. Bank [1968], 16 Ohio St. 2d 16, paragraph two of the syllabus; 2A Sutherland Statutory Construction 15 [4 Ed.], Section 45.05' and cases cited therein.) That intent may be revealed by the clear language of the statute (Provident Bank v. Wood [1973], 36 Ohio St. 2d 101, 106) and, where that language is not clear, by its legislative, and judicial context (see Henry v. Central Natl. Bank, supra). The meaning of the phrase “caused by external accidental means or accidental in character and result” is not clear.1 To determine the meaning of those alternative phrases, therefore, it is necessary to rely on the history behind the stat - ute’s enactment, the context in which the disputed phrases first appeared and the statutory mandate that workers’ compensation statutes be “liberally construed in favor of employees and the dependents of deceased employees” (B. C; 4123.95):. ■ ■
. The phrases “caused by external accidental means” and “accidental in character and result” are- the products of court definitions of compensable injury. The concept that a compensable injury must be caused by “external accidental means” — i. e., that.it must be caused by unusual cir*416cumstances — first appeared in Indus. Comm. v. Brown (1915), 92 Ohio St. 309, 316-317, and was firmly established by the time that this court denied compensation for a heart attack not preceded by “any extraordinary or unusual happening” in Indus. Comm. v Franken (1933), 126 Ohio St. 299, 300-301. (See Bowman v. National Graphics Corp. [1978], 55 Ohio St. 2d 222, dissenting opinion of Justice Sweeney at pages 228-229.) The application of the doctrine of an “unusual happening” that the General Assembly probably had in mind when R. C. 4123.01(C) was drafted is found in Dripps v. Indus. Comm. (1956), 165 Ohio St. 407. (Bowman v. National Graphics Corp., supra, dissenting opinion at page 232; Hearing v. Wylie [1962], 173 Ohio St. 221, 223.) In Dripps, this court held that injuries arising from exertion aboye that normally required in the course of work, but not produced or accompanied by an extraordinary or unusual happening, were not compen-sable. In the words of the Dripps opinion at pages 408-409:
“For an employee to receive compensation for an injury arising at a time when he was performing his duties as an employee, he must show that such injury is physical or traumatic in character, that it arose suddenly and was not intentionally self-inflicted, and that it resulted by external means from some specific event or mishap occurring suddenly and unexpectedly and not in the usual course of events.” (Emphasis added.)
The phrase “accidental in character and result” made its way into Ohio workers’ compensation law in the first two paragraphs of the syllabus in Malone v. Indus. Comm. (1942), 140 Ohio St. 292. Those paragraphs define compen-sable injury as an injury which “comprehends a physical or traumatic damage or harm, accidental in the sense of being the result of a sudden mishap” and as an injury produced by or resulting from ‘ ‘ something unforeseen, unexpected, and unusual.”2
*417An examination of only the first two paragraphs of the Malone syllabus might lead to the conclusion that the phrase “accidental in character and result,” like the Dripps language concerning “external accidental means,” requires an injury to be preceded by an unusual circumstance before it may be compensated. When the Malone opinion is viewed in its entirety, however, it is clear that neither the Malone court nor the General Assembly intended to give both phrases the same meaning. Even the syllabus itself confirms this conclusion. Paragraph four thereof reads as follows:
“Heat exhaustion suddenly and unexpectedly suffered # * * constitutes an accidental traumatic injury under the Workmen’s Compensation Act of this state.”
Since this portion of the Malone syllabus allows compensation for an injury not preceded by an unusual circumstance, it cannot be reconciled with the “external accidental means” doctrine of Dripps. (See, also, Judge Bell’s concurrence in Davis v. Goodyear Tire & Rubber Co. [1959], *418168 Ohio St. 482, 484.) Moreover, while it is established law in Ohio that a Supreme Court syllabus states the law of the case (Cassidy v. Glossip [1967], 12 Ohio St. 2d 17, paragraph six-of the syllabus), it is also established law that any Supreme Court syllabus must be interpreted with reference to the facts of and questions presented by the ease (14 Ohio Jurisprudence 2d 683, Courts, Section 248, and cases cited therein). In the Malone case, no unusual circumstance preceded the injury. This court, nonetheless, granted compensation. That holding provides further support for the proposition that those portions of E. C. 4123.-()1 (C) originating in the Malone opinion must not be construed to require an unusual circumstance as a prerequisite to compensation.3 (The same conclusion was drawn by this court in Hearing v. Wylie, supra, at page 224, when it found that, had the decedent’s injury occurred after the passage of current E. C. 4123.01(C), claimant should have been compensated for death benefits for the ruptured appendix stiffered while decedent was lifting, without a preceding unusual event, a 100-pound side of beef.)
The chronology of Malone, Dripps and E. C. 4123.01 (C) also shows that the General Assembly did not intend for the Malone language in E. C. 4123.01(C) to require a, preceding unusual circumstance as a prerequisite for compensation. The Franjeen opinion, which established the “external accidental means” or unusual circumstances doctrine, was written in 1933. In 1937, the General Assembly enacted G. C. 1465-68, which defined compensable injury as “any injury received in the course of, and arising out of, the injured employee’s employment.” (Emphasis added.) The Malone opinion was written in 1942, and the Dripps opinion reinstated the “external accidental means” requirement in 1956. In 1959, Judge Bell’s concurring opinion in Davis, supra (168 Ohio St. 482, 484), characterized the Malone and Dripps doctrines as conflicting, applied the Dripps doctrine and, in Judge Bell’s words, appealed *419to the General Assembly to correct any error the court may have made in applying the Dripps test for compensability.4
Later in 1959, the General Assembly amended the statutory definition of compensable injury. (The timing and language of the amendment indicate that the General Assembly was responding to the problems raised in the Davis ease.) In the process of redrafting the statute, the General Assembly adopted the definition of compensable injury now found in E. C. 4123.01(C), a definition that incorporates both the Malone and Dripps tests for com-pensability. (The language of E. C. 4123.01(C) — specifically the word “or” which joins the phrases “caused by external accidental means” and “accidental in character and result” — makes it clear that the General Assembly intended the two phrases to he read in the alternative and intended the injury to he compensable if it fell under either phrase.5) By declining to a'dopt the Dripps test alone, the General Assembly chose not to make an unusual circumstance a prerequisite to compensability. As Judge Bell said in the Bearing opinion, supra (173 Ohio St. 221), at page 223:
*420“Although some doubt may be entertained that the expression is ;clear and unequivocal.,’ the General Assembly, within a matter of a few months after the Davis decision, amended Section 4123.01, Revised Code, and defined ‘injury’ as including ‘any injury, whether caused by external accidental means or accidental in character and: result.’ The conclusion is inescapable to a majority of this court that the General Assembly intended to define ‘injury’ in the terms of the Malone rule and in the terms of Judge Zimmerman’s dissent in Dripps. The legislative branch of the government exercised a prerogative delegated to it, and the judiciary is obliged to respect that prerogative.”
Given the history behind the enactment of B. C. 4123.-01(C), the context of the disputed phrases and the mandate that workers’ compensation statutes be liberally construed in favor of the injured employee, we find that the General Assembly exercised its prerogative to include within the R. C. 4123.01(C) definition of compensable injuries those injuries which are not preceded by an unusual event. The judgments of the Courts of Appeals are accordingly affirmed.
Judgments affirmed.
Celebrezze, C. J., Sweeuey and Locher, JJ., concur. Herbert, P. Browh and Holmes, JJ., dissent.One possible meaning1 of an injury “accidental * * * in result”.is an injury which causes an accident
The Malone syllabus provides, in its entirety:
“1. The term ‘injury’ as used in the Constitution and in Section 1465-68, General Code (117 Ohio Laws, 109), as amended effective July 10, 1937, comprehends a physical or traumatic damage or harm, ac*417cidental in its character in the sense of being the result of a sudden mishap occurring by chance, unexpectedly and not in the usual course of events, at a particular time and place.
“2. When, in connection with an intentional act on the part of a workman which precedes an injury to him, something unforeseen, unexpected, and unusual occurs which produces the injury or from which the injury results, it is accidental in character and result.
“3. When an employee, by reason of the activities, conditions and requirements of his employment, is subjected to a greater hazard than are the members of the general public, and he is accidentally injured thereby, a causal connection between the employment and his injury is established.
“4. Heat exhaustion, suddenly and unexpectedly suffered by an employee as a result of the circumstances and requirements of his employment subjecting him to a greater hazard than that to which members of the general public are subjected, in this case by reason of working in a superheated foundry resulting in his death within twelve hours after the attack, constitutes an accidental traumatic injury under the Workmen’s Compensation Act of this state.”
(The holding in Bowman v. National Graphics Corp. (1978), 55 Ohio St. 2d 222, is not inconsistent with the holding or the fourth paragraph of the Malone syllabus, because it did not involve an injury “suddenly * * * suffered.”)
See, also, the statement in Malone that “Scores of compensable accidental injuries result where no accidental circumstance precede# or causes them.” Malone, supra, at page 298.
Judge Bell’s concurrence reads in pertinent part:
“It was my opinion at the time the case of Dripps v. Industrial Commission, 165 Ohio St., 407, 135 N. E. (2d), 873, was decided that the judgment then agreed upon by a majority of this court could not be reconciled with the decision in, and paragraphs three and four of the syllabus of, Malone v. Industrial Commission, 140 Ohio St., 292, 43 N. E. (2d), 266, or with Maynard v. B. F. Goodrich Co., 144 Ohio St., 22, 56 N. E. (2d), 195. * * *”
“At the time of the decision in the Dripps case, the majority of this court chose one of what may be termed two irreconcilable lines of decision. * * * If this court was wrong in its interpretation of the statute as announced in the Dripps case and those which have followed it, and if the, Workmen’s Compensation Act is to be made a general policy of insurance for the employees of Ohio, as has been argued to this court on occasion, our error should be corrected by the General Assembly and a different approach to workmen’s compensation outlined in clear and unequivocal legislative expression.”
Webster’s Third New International Dictionary defines the word “or” as “used as a function word to indicate (1) an alternative between different or unlike things, states, or actions * * *; (2) choice between alternative things, states, or courses * *