The titles of state supreme court vary, which can cause confusion between jurisdictions because one state may use a name for its highest court that another uses for a lower court. In New York, Maryland, and the District of Columbia the highest court is called the Court of Appeals, a name used by many states for their intermediate appellate courts. Further, trial courts of general jurisdiction in New York are called the Supreme Court, and the intermediate appellate court is called the Supreme Court, Appellate Division. In West Virginia, the highest court of the state is the Supreme Court of Appeals. In Maine and Massachusetts the highest court is styled the "Supreme Judicial Court"; the last is the oldest appellate court of continuous operation in the Western Hemisphere.

What may cause some confusion in the US regarding state supreme courts?