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ENCAPSULATED BRAIN HEMORRHAGES: A Study of Their Frequency and Pathology

ENCAPSULATED BRAIN HEMORRHAGES: A Study of Their Frequency and Pathology Abstract While preparing a case of encapsulated brain hemorrhage for presentation at a meeting of the Philadelphia Neurological Society, it was found that in the records of the neuropathology laboratory of the Philadelphia General Hospital there were only two cases of this character in about four thousand cases studied in the laboratory. Dr. W. G. Spiller kindly allowed me access to his collection, in which were three similar cases in about eight hundred. The small incidence led me to consider that they should be reported. A study of the literature of these cases seems to show that a brain hemorrhage, even when rather extensive, does not cause sudden death and that even recovery may occur, provided that the hemorrhage is either walled off, if large, or absorbed, if small. To my knowledge, however, only two such cases have been reported in English. Spiller 1 reported a case in 1906 among thirteen References 1. Spiller, W. G.: The Duration of Life After Extensive Hemorrhage of the Brain , J. A. M. A. 51:2101 ( (Dec. 19) ) 1908.Crossref 2. Douglas, R. G.: A Case with an Old and a Recent Hemorrhage , Canad. M. A. J. 15:638, 1925. 3. Thomas, H. M., in Osler: System of Medicine , Philadelphia, Lea & Febiger, 1915, vol. 5, p. 452. 4. Spillsbury, B. H.: Sudden Death , Practitioner 98:132, 1917. 5. Maloney, M. J.: Sudden Death , Dublin J. M. Sc. , (February) , 1921, p. 60. 6. Oppenheim, H.: Lehrbuch der Nervenkrankenheiten , ed. 7, Berlin, S. Karger, 1923, p. 1238. 7. Cadwalader, W. B.: A Comparison of the Onset and the Character of the Apoplexy Caused by Cerebral Hemorrhage and by Vascular Occlusion , J. A. M. A. 62:1381 ( (May 2) ) 1914. 8. Winkelman, N. W., and Eckel, J. L.: Extensive Brain Hemorrhages , J. Nerv. & Ment. Dis. 61:593, 1925. 9. Kron, I., and Mintz, W. G.: Kleinhirnblutung geheilt durch Operation , Deutsche med. Wchnschr. 53:1054 ( (June 17) ) 1927. 10. Buzzard, E. F., and Greenfield, J. G.: Pathology of the Nervous System , London, Constable & Co., Ltd., 1921, p. 118. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Neurology & Psychiatry American Medical Association

ENCAPSULATED BRAIN HEMORRHAGES: A Study of Their Frequency and Pathology

Archives of Neurology & Psychiatry , Volume 27 (6) – Jun 1, 1932

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Publisher
American Medical Association
Copyright
Copyright © 1932 American Medical Association. All Rights Reserved.
ISSN
0096-6754
DOI
10.1001/archneurpsyc.1932.02230180170011
Publisher site
See Article on Publisher Site

Abstract

Abstract While preparing a case of encapsulated brain hemorrhage for presentation at a meeting of the Philadelphia Neurological Society, it was found that in the records of the neuropathology laboratory of the Philadelphia General Hospital there were only two cases of this character in about four thousand cases studied in the laboratory. Dr. W. G. Spiller kindly allowed me access to his collection, in which were three similar cases in about eight hundred. The small incidence led me to consider that they should be reported. A study of the literature of these cases seems to show that a brain hemorrhage, even when rather extensive, does not cause sudden death and that even recovery may occur, provided that the hemorrhage is either walled off, if large, or absorbed, if small. To my knowledge, however, only two such cases have been reported in English. Spiller 1 reported a case in 1906 among thirteen References 1. Spiller, W. G.: The Duration of Life After Extensive Hemorrhage of the Brain , J. A. M. A. 51:2101 ( (Dec. 19) ) 1908.Crossref 2. Douglas, R. G.: A Case with an Old and a Recent Hemorrhage , Canad. M. A. J. 15:638, 1925. 3. Thomas, H. M., in Osler: System of Medicine , Philadelphia, Lea & Febiger, 1915, vol. 5, p. 452. 4. Spillsbury, B. H.: Sudden Death , Practitioner 98:132, 1917. 5. Maloney, M. J.: Sudden Death , Dublin J. M. Sc. , (February) , 1921, p. 60. 6. Oppenheim, H.: Lehrbuch der Nervenkrankenheiten , ed. 7, Berlin, S. Karger, 1923, p. 1238. 7. Cadwalader, W. B.: A Comparison of the Onset and the Character of the Apoplexy Caused by Cerebral Hemorrhage and by Vascular Occlusion , J. A. M. A. 62:1381 ( (May 2) ) 1914. 8. Winkelman, N. W., and Eckel, J. L.: Extensive Brain Hemorrhages , J. Nerv. & Ment. Dis. 61:593, 1925. 9. Kron, I., and Mintz, W. G.: Kleinhirnblutung geheilt durch Operation , Deutsche med. Wchnschr. 53:1054 ( (June 17) ) 1927. 10. Buzzard, E. F., and Greenfield, J. G.: Pathology of the Nervous System , London, Constable & Co., Ltd., 1921, p. 118.

Journal

Archives of Neurology & PsychiatryAmerican Medical Association

Published: Jun 1, 1932

References