A Manual of Diseases of the Nervous System

Cover A Manual of Diseases of the Nervous System
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Dr.
INFANTILE MENINGEAL HEMORRHAGE. 805 McNutt found that the basal hemorrhage occurred in cases of head presenta- tion, while the most intense extravasation over the cerebral hemispheres were found in cases of foot presentation. It is probable, however, that the cortical hemorrhage also occurs in cases in which the head is born first.
In older children, who present the symptoms that have been described, the lesion found is atrophy of the convolution in a certain region of the brain, generally
...the central convolutions, which maybe small and indurated, and lie at the bottom of a considerable depression. This appearance agrees perfectly with the condition found in early cases, since the blood will be slowly removed, and only the damage to the cortex of the brain will remain.
These conditions explain, to a large extent, the symptoms observed.
The facts that the thickest part of the extravasation is over the motor region, and that it is over both hemispheres, explain the distribution of the symp- toms in the limbs, and their bilateral character.


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