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CEREBROSPINAL FLUID IN THE NEW-BORN

A. LEVINSON, M.D.; J. GREENGARD, M.D.; R. LIFVENDAHL, M.D.
Am J Dis Child. 1926;32(2):208-218. doi:10.1001/archpedi.1926.04130080048005.
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During the last few years, there appeared a number of articles on lumbar puncture in the new-born, with special reference to cerebral hemorrhage. With one exception,1 the authors who have written on the subject believe that lumbar puncture is indicated in suspected cases of cerebral hemorrhage. Lippman2 expresses his opinion that "the finding of blood in spinal fluid is not sufficient to make a diagnosis of cerebral hemorrhage, as it may be due to the puncture of a vessel." All other authors, however, believe that blood-stained cerebral fluid obtained by lumbar puncture may be taken as an indication of the presence of cerebral hemorrhage. This opinion has especially been held by Green,3 Brady,4 Roberts,5 Sharpe and Maclaire.6 The last two authors consider lumbar puncture as an accurate method of diagnosis of cerebral hemorrhage, and advise the repetition of lumbar puncture as a therapeutic measure

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