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I read Shaffer et al's paper with great interest, but it gave a strong
sense of deja vu. The authors and ADC readers may find of interest Sigmund
Freud's comments on this particular topic from his classic Infantile
Cerebral Paralysis published in 1897.
"The consideration of cranial trauma as another etiological factor defeats all attempts to view hemiplegic cerebral paralysis as a singl...
"The consideration of cranial trauma as another etiological factor defeats all attempts to view hemiplegic cerebral paralysis as a single etiological
He then cites over 20 cases from the medical literature at that time from
Osler, Abercrombie and Henoch amongst others.
"In a number of cases the role of trauma as an etiological factor of
infantile cerebral palsy is indisputable.
It would be important for the principal concept of infantile cerebral
paralysis, if in definitely traumatic cases there would be specific
deviations in the disease from the non-traumatic ones in regard to course
or complications. No special study has been undertaken so far in this
One century after Freud this study has still not been undertaken and thus
it is questionable how far further on from Freud, Shaffer et al's paper
moves us forward.
(1) L Shaffer, P M Rich, K R E Pohl, V Ganesan. Can mild head injury cause ischaemic stroke? Arch Dis Child 2003; 88:267-269.
(2) Freud S. Infantile Cerebral Parlsysis. Translated by Lester A Russin. Miami: University of Miami Press, 1968. Pp. 73-74.