Intracerebral hemorrhage in the young / by B. Sachs.

  • Sachs, Bernard, 1858-1944.
Date:
1887
Catalogue details

Licence: Public Domain Mark

Credit: Intracerebral hemorrhage in the young / by B. Sachs. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    [Reprinted from The Journal oe Nervous and Mental Disease, Vol. XIV., August, 1887.] “INTRACEREBRAL HEMORRHAGE IN THE YOUNG.” ^ By B. SACHS, M.D. Within the last few years, the pathology of the infant’s brain has attracted unusual attention. As a result of closer study, we have learned to differentiate between a number of forms of paralysis which were at one time included under the comprehensive term of ‘ infantile paralysis,’ In this connection, I need merely remind you of our increased knowledge on polioencephalitis to be as- cribed mainly to the careful researches of Kundrat, Henoch, Striimpell, Bernhardt, and in no mean degree to an excellent paper by Dr. McNutt. With polioencephalitis I am in no wise con- cerned in this paper. Leaving aside paralyses to be ascribed to this condition, I am safe in saying that suddenly developed para- lyses, and hemiplegiae in particular, have been too frequently at- tributed to meningeal hemorrhage. No doubt that in most, and in traumatic cases particularly, an effusion of blood into the meninges or over the cortex is the cause of the paralysis. It is my own conviction, however, that intracerebral hemorrhage is more frequent in the young than it is generally supposed to be. If so, it will be important to be able to make a differential diagnosis be- tween these two forms of intracranial hemorrhage at a very early stage of the trouble, or rather between hemiplegia due to menin- geal, and hemiplegia due to intracerebral, hemorrhage. If for no other reason, it will be important in order to give a correct prog- nosis. I have said that I believed intracerebral hemorrhage to be more frequent in the young than it was generally considered to be. Withal, the condition is rare enough to merit full discussion, and I have therefore no hesitation in calling your attention to a few cases of this type. I wish to anticipate criticism of my remarks by confessing that I have no autopsy to prove my diagnosis, and that I may be guilty of what Dr. Seguin once styled ‘speculative pathology.’ But ^ This paper, although read a year ago at the meeting of the Am. Neurol. Association, has not hitherto been published, as the author wished to confirm his views by autopsies. In view of the appearance of Dr. Knapp’s paper, the author has determined to publish these “ clinical cases.” Case I. has since died of malignant diphtheria, but unfortunately no post-mortem examination was granted.