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January 30, 1932


Author Affiliations


JAMA. 1932;98(5):419. doi:10.1001/jama.1932.02730310059028

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To the Editor:  —Dr. Edwin Warner Ryerson, in his article entitled "Cerebral Spastic Paralysis in Children," which appeared in The Journal, January 2, says: "Hemorrhage is very rare in these premature infants, because the child's head is small and there is usually not enough compression of the skull during birth to cause a rupture of the longitudinal sinus or the middle meningeal artery. In these infants there may be very little spasticity at birth."I thoroughly disagree with this statement. It is a well known fact that premature and immature babies are more susceptible to intracranial hemorrhage than full term babies. The smaller the weight at birth, the more frequent the hemorrhages. Ylppö (Ztschr. f. Kinderh. 20:21, 1919; 38:32, 1924; Monatschr. f. Kinderh. 34:502, 1926) found hemorrhages in 90 per cent of the infants that weighed less than 1,000 Gm. at birth, in 76 per cent of