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November 19, 1887


JAMA. 1887;IX(21):658-659. doi:10.1001/jama.1887.02400200018004

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"Is there any situation," asks Mr. Leonard Braddon, "more hopelessly depressing than the attitude of the physician by the bedside of a severe case of cerebral hæmorrhage? So certain of the diagnosis that he seems to view the fatal clot through the very skull, perfectly acquainted with the antecedent pathology and the actual mode of operation of the silent force that, as it leaks, destroys, he yet stands helplessly by, the author only of trivial directions, utterances pathetically oracular."

In an article in the Lancet, of October 15, 1887, Mr. Braddon calls attention to certain aspects of cerebral hæmorrhage, which, he believes, afford grounds for the adoption of strong and successful modes of treatment. We know that at the postmortem examination of a fatal case of cerebral hæmorrhage the most striking feature is the comparatively enormous amount of blood poured out into the brain tissue, and the force which it

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