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January 1955

Clinical Investigations Concerning the Problem of Birth Injury of the Central Nervous System.

AMA Am J Dis Child. 1955;89(1):123. doi:10.1001/archpedi.1955.02050110139017

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The author, an obstetrician, feels that all the hitherto described signs and symptoms of intracranial birth hemorrhage are of limited diagnostic value. He himself has described a syndrome that he claims to be specific for intracranial birth trauma: a cloudiness of the cornea which appears immediately after birth and may last for minutes only, but sometimes for hours or days. The cornea in these cases is not shiny and transparent but dim and milky. This phenomenon is the author's proof of intracranial trauma, and all his conclusions concerning frequency and sequelae are based on this finding, which was present in 8% of all newborns with a birth weight of more than 2,500 gm. In 1%, the birth injury was the cause of death. The surviving children, observed for two years and more, didn't show any evidence of physical and mental defects, except in some cases the presence of "neuropathic reaction."

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