CENTRIC PUERPERAL PALSIES

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Abstract
Centric puerperal palsies are of interest to the obstetrician, the neurologist and the internist. These palsies are usually hemiplegias, though commonly the face, arm and leg are unequally involved. Infrequently monoplegias occur. A primary partial aphasia may be the forerunner. CLINICAL FEATURES The comparative rarity of puerperal palsies is shown by the fact that we have been able to add only seventeen cases to those of Lafon,1published in his thesis in 1896, giving us forty-two cases to study. We have tried to avoid palsies arising ante partum, intra partum or immediately post partum, as these are more apt to be associated with eclampsia and cerebral hemorrhage. Our interest lies rather with the infectious cases, some with evident thrombophlebitis in pelvic or femoral veins, and some in whom these conditions were latent. The striking feature in many of these palsies is the cerebral thrombophlebitis without other evidence of infection.

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