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May 8, 1897


JAMA. 1897;XXVIII(19):902. doi:10.1001/jama.1897.02440190040010

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In a considerable number of cases presenting spastic conditions from birth a history of difficult labor or of instrumental delivery can be secured. There remains, however, not a small number in which such a history is wanting and one is at a loss to account for the manifestations. While the possibility of intra-uterine disease of the fetus, traumatic or infective, can not under these circumstances be denied, there is little actual evidence in support of such a view. This possibility is given strength and may be said to be raised to the dignity of a probability by the report of a case by Grosz (Deutsches Archiv für Kinderheilkunde, B. xxii, H. 1, 2, p. 1) in which spastic manifestations were present in a child born by abdominal section after a extra-uterine pregnancy, examination after death disclosing gross organic changes in the brain sufficient to account for the symptoms observed during

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