BACKGROUND Since both cerebral infarction and coronary heart disease are caused by atherosclerosis, they would be expected to have similar secular trends in mortality. Because differential diagnosis of stroke subtype on routine death certificates is inaccurate, we aimed to estimate secular trends in cerebral infarct and haemorrhage throughout the 20th century, for England and Wales, with data f...

To cite: Patel RA, Levy ML, Crawford JR. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2013200802 DESCRIPTION A 9-year-old previously healthy boy presented to the emergency room with a 3-week history of progressive headaches and intermittent vomiting without history of preceding trauma. The neurological examination was non-focal. A CT revealed a large, right-sid...

PURPOSE OF REVIEW Haemorrhage remains a cause of significant maternal morbidity and mortality. This review summarizes the prevention, management and treatment of obstetric haemorrhage and highlights recent advances and developments. RECENT FINDINGS Postpartum haemorrhage is the most common cause of major obstetric haemorrhage and is usually due to uterine atony. Pharmacological treatment has ...

A total of 338 infants of gestational age 34 weeks or less were scanned regularly with real time ultrasound. Definite intraventricular haemorrhage was present in 126 (37%) infants, of whom 17 (13.5%) showed extension in the size of the initial haemorrhage, mostly into the cerebral parenchyma. These 17 infants were carefully matched with 17 others who had an initial haemorrhage of the same size ...

Classification of Post-Partum Haemorrhage According to Cause In considering the management of post-partum haemorrhage, it is much more valuable to classify ex­ cessive blood loss according to its cause. Hypotonic post-partum haemorrhage occurs because the uterus fails to undergo adequate contraction and retraction following the delivery of the baby. This type of post-partum haemorrhage can be t...

AIMS To investigate the relation between cerebral blood flow on the first day of postnatal life and the severity of any subsequent germinal matrix haemorrhage-intraventricular haemorrhage (GMH-IVH). METHODS Cerebral blood flow was measured in 24 babies during the first 24 hours of life using near infrared spectroscopy. Repeated cerebral ultrasound examination was performed to define the maxim...

Advising women on haemorrhage in pregnancy could be viewed as an integral aspect of maternal health care in Malawi. The WHO (1999) confirmed that haemorrhage in pregnancy was not only a direct reason for maternal mortality but also a major cause of maternal death. The question on the nature of information that midwives and traditional birth attendants (referred to as TBA's) in the Chiradzulu di...

Fetomaternal haemorrhage was studied after 68 consecutive fetal intravascular transfusions performed in 20 patients with Rh isoimmunisation. alpha Fetoprotein concentration was assayed in maternal blood taken before, and immediately after each transfusion and three and 24 hours later. An increase of 50% or more in the concentration in any of the samples after transfusion was considered to indic...

Catastrophic haemorrhage from extremity injuries has for a long time been the single most common cause of preventable death in the military environment. The effective use of extremity tourniquets has increased the survival of combat casualties, and exsanguination from isolated limb injuries is no longer the most common cause of death. Today, the most common cause of potentially preventable deat...

The traumatic intracranial haemorrhage still remains a serious complication of instrumental deliveries with an uncertain prognosis. Regarding tentorial haemorrhage, surprisingly few clinical neurological data are available. Most of the references in literature are older case reports, associated frequently with an unfavourable outcome. We report a newborn after a serious tentorial haemorrhage wi...