Unilateral Skin Vessel Crises in the Newborn

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Abstract
Summary: The causal mechanism of two types of cerebral birth injury – hemorrhages and the hypoxemic ganglion cell lesions – is discussed in connection with four cases of unilateral skin vessel crises in infants during the first months of life. At birth and during the initial postnatal period all the infants had been in a state of universal cyanosis, but, with one exception, they did not present any signs of a brain lesion. Within a period of 4 to 28 days after birth sudden attacks of severe pallor or redness occurred all over one half of the body, with sharp delimitation in the median line. The author has not been able to find similar observations in the literature. It is thought to be due to minor brain lesions occurring during delivery and located in or near the supraseg‐mental autonomic centres in the medulla or the hypothalamus.

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