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July 1942

MYELOPATHY FOLLOWING COMPRESSION OF ABDOMINAL AORTA FOR POSTPARTUM HEMORRHAGEREPORT OF A CASE

Author Affiliations

CHICAGO

From the Departments of Neuropsychiatry and Obstetrics of the Michael Reese Hospital.

Arch NeurPsych. 1942;48(1):85-91. doi:10.1001/archneurpsyc.1942.02290070095007
Abstract

Studies on the effect of temporary occlusion of the abdominal aorta on the functions of the spinal cord have been almost exclusively limited to experimental animals. An unusual opportunity to observe these effects presented itself in a case in which one of us (H. A. S.) found it necessary to compress the abdominal aorta in order to control a severe postpartum hemorrhage. This recognized, but little used, obstetric procedure may be accomplished by various methods, one of which is the application of an abdominal tourniquet, the so-called Momburg tube. The Momburg tube is simply a length of thick rubber hose which is tightly applied around the abdomen just above the iliac crests. Little is known in this country about the possible harmful effects of this procedure. De Lee1 cited a report by Pagenstrecker of ischemic paralysis of the distal end of the spinal cord. The following report deals with

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