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Birth injuries in the newborn. Part V, diagnosis of intracranial hemorrhage in the newborn children by roentgen rays
REVIEWS
AND
883
ABSTRACTS
prophylactic forceps in primiparae together with episiotomy remedies. In breech deliveries skill in handling rather than infant through will prevent head injuries.
apparently trying to
are rush
the the
A. C. WILLIAMSON.
Yagi, II.: Birth Injuries in the Newborn. Part V, Diagnosis of Intracranial Hemorrhwe in the Newborn Children by Roentgen Rays. Japanese J. Obst, & Gynec.
12:
223,
1929.
The most certain way of demonstrating intracranial hemorrhage If a postmortem examination cannot be done, there are two alternatives. perform a lumbar or fontanelle puncture and the other is to take an Minium or barium sulphate solutions injected into the jugular veins for this purpose. The author demonstrated intracranial hemorrhage babies by means of taking x-ray pictures after barium sulphate was
is by
autopsy. One is to x-ray picture. are the best in 30 newborn injected.
J. P. GREENHILL. Roberta,
M. H.:
Intracranial Rays.
by the Roentgen
Hemorrhage Am. J. Dis.
in the Newborn Infant Child. 38: 1196, 1929.
as Demonstrated
The author attempts to improve on Schoenholtz’s work who injected a red lead Roberts used metallic mercury solution, impermeable to x-rays, into the carotid veins. which he, however, injected not into the veins but into the right common carotid artery. Thus the entire arterial system becomes visualized in the x-ray picture. The article carries several illustrations showing large blobs of mercury that apparently are in the ventricles or over the hemispheres. Since intracranial hemor: rhages practically always originate from veins and not from arteries, the question arises whether these blobs of mercury outside of the blood vessels shown in the author’s pictures are really proof of previously injured vessels or only artifacts produced by the injection of so heavy a metal. P. J. ZENTAP. Schlack: Wchnschr.
Diagnostic 75:
1502,
Value
of Hemorrhagic
Spinal
Fluid.
Miinchen
med.
1928.
Schlack presents a method of determining whether blood in the spinal fluid of a newborn child, as obtained by puncture, is due to faulty technic in puncture or to a birth trauma. The fluid is immediately centrifuged very vigorously in a narrow tube; then the upper half of the supernatant fluid is removed and the benzidine test performed. If the test is positive the blood was present before puncture; if negative, it was caused by the needle. Of 44 such examinations, 33 specimens contained blood; of these 22 were positive to this test. In 18 of these cases autopsy was done. In all the cases where a negative reaction was obtained there was no cerebral hemorrhage. In 2 of the cases where a positive reaction was found, no hemorrhages were present. The value of the test is that, when a negative result is obtained, intracranial hemorrhage can be excluded. SHULMAN.
Bihl, J., and Weinzierl, 626, 1927.
El.:
Fetal
Cardiac
Arrhythmia.
Arch.
f. Gy&k.
130:
The authors lay more stress on the character of the fetal heart tones than upon their rate. A rate above 160 without a previous slowing is of no clinical importance. They hold, however, that a rate down to or below 100 indicates fetal danger from
AND
883
ABSTRACTS
prophylactic forceps in primiparae together with episiotomy remedies. In breech deliveries skill in handling rather than infant through will prevent head injuries.
apparently trying to
are rush
the the
A. C. WILLIAMSON.
Yagi, II.: Birth Injuries in the Newborn. Part V, Diagnosis of Intracranial Hemorrhwe in the Newborn Children by Roentgen Rays. Japanese J. Obst, & Gynec.
12:
223,
1929.
The most certain way of demonstrating intracranial hemorrhage If a postmortem examination cannot be done, there are two alternatives. perform a lumbar or fontanelle puncture and the other is to take an Minium or barium sulphate solutions injected into the jugular veins for this purpose. The author demonstrated intracranial hemorrhage babies by means of taking x-ray pictures after barium sulphate was
is by
autopsy. One is to x-ray picture. are the best in 30 newborn injected.
J. P. GREENHILL. Roberta,
M. H.:
Intracranial Rays.
by the Roentgen
Hemorrhage Am. J. Dis.
in the Newborn Infant Child. 38: 1196, 1929.
as Demonstrated
The author attempts to improve on Schoenholtz’s work who injected a red lead Roberts used metallic mercury solution, impermeable to x-rays, into the carotid veins. which he, however, injected not into the veins but into the right common carotid artery. Thus the entire arterial system becomes visualized in the x-ray picture. The article carries several illustrations showing large blobs of mercury that apparently are in the ventricles or over the hemispheres. Since intracranial hemor: rhages practically always originate from veins and not from arteries, the question arises whether these blobs of mercury outside of the blood vessels shown in the author’s pictures are really proof of previously injured vessels or only artifacts produced by the injection of so heavy a metal. P. J. ZENTAP. Schlack: Wchnschr.
Diagnostic 75:
1502,
Value
of Hemorrhagic
Spinal
Fluid.
Miinchen
med.
1928.
Schlack presents a method of determining whether blood in the spinal fluid of a newborn child, as obtained by puncture, is due to faulty technic in puncture or to a birth trauma. The fluid is immediately centrifuged very vigorously in a narrow tube; then the upper half of the supernatant fluid is removed and the benzidine test performed. If the test is positive the blood was present before puncture; if negative, it was caused by the needle. Of 44 such examinations, 33 specimens contained blood; of these 22 were positive to this test. In 18 of these cases autopsy was done. In all the cases where a negative reaction was obtained there was no cerebral hemorrhage. In 2 of the cases where a positive reaction was found, no hemorrhages were present. The value of the test is that, when a negative result is obtained, intracranial hemorrhage can be excluded. SHULMAN.
Bihl, J., and Weinzierl, 626, 1927.
El.:
Fetal
Cardiac
Arrhythmia.
Arch.
f. Gy&k.
130:
The authors lay more stress on the character of the fetal heart tones than upon their rate. A rate above 160 without a previous slowing is of no clinical importance. They hold, however, that a rate down to or below 100 indicates fetal danger from