October 1927

Birth Injuries of the Central Nervous System.

Author Affiliations

Part 1: Cerebral birth injuries and their results, by F. R. Ford of Johns Hopkins School. Part 2: Obstetrical injuries to the spinal cord by Bronson Crothers and Marion C. Putnam, Harvard Medical School. Price, $4. Pp. 220, with 70 illustrations. Baltimore: Williams & Wilkins Company, 1927.

Arch Intern Med (Chic). 1927;40(4):573-574. doi:10.1001/archinte.1927.00130100177014

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


Part one deals with the sources of intracranial hemorrhages occurring at birth as coming from (1) the small tentorial vessels, (2) vena magna galeni, which may rupture as the result of distortion during the molding of the head, (3) cerebral veins, namely, the superior longitudinal sinus, (4) in the severe types, from injuries of the superior longitudinal sinus, transverse sinus and straight sinus, (5) but rarely from injury to the choroidal veins, which occurs only in stillborn premature infants.

The author says further that hemorrhage is never extradural, unless associated with fracture of the skull. He also emphasizes the fact that an important contributing cause of intracranial hemorrhage is prematurity. In this connection he quotes authorities who state that intracranial bleeding occurs sixteen times more frequently in premature than in full-term infants. The cutaneous vessels of premature infants are much more fragile. The skin of mature babies will withstand a

First Page Preview View Large
First page PDF preview
First page PDF preview