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September 1923

BIRTH HEMORRHAGE INTO THE SPINAL CORD WITH RESULTANT BLADDER AND KIDNEY COMPLICATIONS: REPORT OF A CASE

Author Affiliations

DULUTH, MINN.
From the department of Pediatrics of the Duluth Clinic.

Am J Dis Child. 1923;26(3):242-249. doi:10.1001/archpedi.1923.04120150049005
Abstract

Cases of birth hemorrhage into the spinal cord, though they probably occur more frequently than is generally supposed, are not numerous in the literature. Most work on the subject has been done quite recently.

The most comprehensive article on this condition is that of Crothers,1 who quotes Head and Riddoch2 at some length. These investigators studied the effect of cord injuries in young men wounded during the World War, and they conclude that high physiologic transections of the cord in healthy young men run the following course:

First stage:  There is muscular flaccidity, with a lack of tone in the skeletal muscles, anesthesia, dryness of the skin, which is easily marred, and retention of urine and feces.

Second stage:  After a few weeks, reflexes appear. At first, stimulation of the sole causes various toe movements; later, a variety of flexion responses of the legs and lower abdomen can

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