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December 9, 1899


Author Affiliations

Instructor on Clinical Disorders of the Nervous System in the Omaha Medical College; Neurologist to the Methodist Episcopal Hospital. OMAHA, NEB.

JAMA. 1899;XXXIII(24):1464-1465. doi:10.1001/jama.1899.92450760020001d

Cerebral hemorrhage is commonly regarded as of rare occurrence, and is expected in the aged only. That we should suspect it in middle life, youth, and even childhood, more frequently than has been our custom, is doubtless true. It occurs oftener in the male than in the female, and is of all cerebral affections the most common. A greater proportion of cases obtain among persons residing in the temperate climates than on other parts of the globe; and more attacks occur during the winter season than in summer.

Gowers says, "taking all forms together, meningeal hemorrhage is far more frequent, both in youth and in the middle period of life, than intracerebral bleeding." The text-book picture, of the short, stoutly built, highshouldered and thick-necked man with a florid face, as being the typical type for a cerebral hemorrhage, is worthy of consideration, because of its antiquity only; for an observing

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