The extreme rarity of the occurrence should justify the report of the following case of acrania:
History of Mother.
—The mother, Mrs. H. G., aged 23, primipara, has never in her life been sick; she also enjoyed perfect health during the entire term of pregnancy. Delivery occurred on July 20, 1905, about a week later than expected. Fetal movements for the last week had been very feeble, if noticeable at all. On examination the day before labor, fetal heart sounds could not be heard, and palpation of the abdomen failed to elicit fetal movements. The patient, however, was in excellent health.
—Labor pains set in abruptly and were almost from the start continuous or with very brief intermissions. About three hours after beginning of labor the vagina was found to be filled by a "bag of waters" of unusually large size, through which the presenting part could not be
ENGZELIUS AE. A CASE OF HYDROCEPHALUS AND ACRANIA. JAMA. 1905;XLV(8):535. doi:10.1001/jama.1905.52510080033004a
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