November 1971

Birth and Brain Damage: An Investigation Into the Problems of Antenatal and Paranatal Anoxia and Allied Disorders and Their Relations to the Many Lesion-Complexes Residual Thereto.

Author Affiliations

Albuquerque, NM


By Cyril B Courville, MD, foreword by W Frederick Norwood, PhD. Price, $20. Pp 408. Margaret Farnsworth Courville, 1000 Oxford Way, Pasadena, Calif 91103, 1971.

Am J Dis Child. 1971;122(5):464. doi:10.1001/archpedi.1971.02110050134030

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This book is an excellent treatise on the pathologic effects of anoxia and ischemia on the human brain. Drawing from a lifetime of experience in neuropathology, the author clearly illustrates his impression that in the majority of cases birth-related brain damage is due to disturbances in the cerebral circulation as a result of paranatal anoxia. In contrast to the thoughts of others, he does not agree that trauma is a prevalent factor responsible for brain damage at birth.

The context of the book is divided into 18 chapters and includes an extensive list of references. Furthermore, since the manuscript was completed by the author two weeks before his death, his wife and many professional friends have added the Courville bibliography to the book in commemoration.

The book begins with a brief discussion of the hazards of birth and the effects of trauma. There then follows a classification of the "Residual

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