October 1955

Clinical Investigations with Regard to Injury of the Central Nervous System by Birth Trauma.

Author Affiliations

By Dr. med. Wilhelm H. Thiele. Price, not given. Pp. 52, with 10 illustrations. Ferdinand Enke, Hasenbergsteige 3, Stuttgart W., 1954.

AMA Am J Dis Child. 1955;90(4):477. doi:10.1001/archpedi.1955.04030010479014

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The symptoms and the diagnosis of intracranial disorders as consequence of birth trauma are discussed. The value of a symptom previously described by the author, an obstetrician, is stressed particularly. It is a turbidity of the cornea which immediately after birth has the appearance of ground glass. It is not shiny and transparent. The turbidity may persist for various periods of time; usually it lasts only a few minutes. It is referred to increased pressure in the cranium. The symptom is regarded as the only certain, absolutely dependable, and extremely sensitive indication of the cerebral injury due to birth trauma. In this way it was possible to demonstrate such a lesion in 8% of 1095 live births with a weight of 2500 gm. or more. In only 1% the birth trauma could be suspected as cause of death. The mechanism of the sign is discussed as well as therapy and

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