SUBDURAL HEMATOMA IN INFANTILE SCURVY (Barlow's disease--Vit. C deficiency)

Though doctors committed to the SBS hypothesis that Subdural Hematomas are caused primarily by shaking, or shaking-impact, or accidental impact of extreme force in documented circumstances, the fact is that hemorrhagic conditions like scurvy in adults or infantile scurvy (Barlow's disease in different forms) in babies have in the past always been recognized as sources of hemorrhage in the area of the brain, behind the eyes and anywhere else in or on the body, such as abnormal bruising mimicking child abuse, and as a cause of bone disease, fractures or the appearance of fractures caused by callus formation arising from subperiosteal bleeding from the skin covering on the bones.

Infant formula has long been known to cause Vitamin C deficiency, and animal studies demonstrate that vaccines can do the same, as can natural infections and certain pharmaceutical drugs. Every caretaker falsely accused of causing these symptoms or death needs to DEMAND that different diagnosis be used to eliminate all other causes of these symptoms, beginning with testing the blood for C (and other deficiency states) and elevated histamine levels, as well as for endotoxemia from vaccines or antibiotic use and brain inflammation associated with both natural infection and unnatural infection from vaccines. Where there is brain inflammation, the potential for hemorrhage always exists.

SUBDURAL HEMATOMA (SEPARATE PAGE)

http://jama.ama-assn.org/content/99/12/989.short
JAMA. 1932;99(12):989-991. doi: 10.1001/jama.1932.02740640031009
SUBDURAL HEMATOMA IN INFANTILE SCURVY
REPORT OF CASE WITH REVIEW OF LITERATURE

B. BARRETT GILMAN, M.D.;
RADFORD C. TANZER, M.D.

ROCHESTER, N. Y.
From the Departments of Pediatrics and Surgery, University of Rochester School of Medicine and Dentistry, and Strong Memorial Hospital.

Since this article does not have an abstract, we have provided the first 150 words of the full text.
Excerpt

The hemorrhagic diathesis of scurvy has been recognized since the time of Hippocrates. Hemorrhage occurs most commonly beneath the periosteum of the long bones and into joint spaces but frequently involves the skin, mucous membranes, orbits and serous cavities. Reports of hemorrhage associated with the meninges during the active scorbutic state are sufficiently rare to deserve note. The occurrence of subdural hemorrhage in a case of infantile scurvy, in which an operation was performed in this hospital, has led us to review the literature for similar cases.

Willis,1 an English physician, in a treatise on scurvy published in 1668, mentioned the occurrence of intracranial hemorrhage in the course of this disease, an observation that was apparently based on pathologic examinations. Two hundred years later, in 1871, in a review of the pathologic anatomy of scurvy, Hayem2 presented the first case of hemorrhagic pachymeningitis associated with scurvy.
_____________________________________________________________________________________

http://www.nejm.org/doi/pdf/10.1056/NEJM193612312152704
(Only the first part was made available online, the article must be purchased)
The Role of Scurvy in the Etiology of Chronic Subdural Hematoma

THEODORE HUNT INGALLS, M.D.†

N Engl J Med 1936; 215:1279-1281December 31, 1936

http://jama.ama-assn.org/content/112/3/198.short (first 150 words only, the article must be purchased)
Subdural hematoma in infancy and childhood
FD INGRAHAM… - Journal of the American Medical …, 1939 - Am Med Assoc
... Ye agree that the infant with scurvy or sub- scurvy vitamin ? deficiency is more prone to bleeding
than the normal infant and is therefore in greater danger of having a subdural hematoma, and
we realize that the illegitimate infant, or the one given poor gen- eral care, may well ...

http://www.nejm.org/doi/pdf/10.1056/NEJM194008292230903
Subdural hemorrhage in patients with mental disease
AM Allen, M Moore… - New England Journal of Medicine, 1940 - Mass Medical Soc
... of coughing, and injury to the head may also lead to it." Subdural hemorrhage has been reported
to occur in association with typhus fever, chronic alcoholism, infantile scurvy and tuberculosis. ...
Table 1. Distribution of Cases of Subdural Hematoma According to Age and Sex

http://www.sciencedirect.com/science/article/pii/S0022347651801070
Traumatic periostitis in young children
GH Barmeyer, LR Alderson… - The Journal of Pediatrics, 1951 - Elsevier
... 2. WE Nelson, WM Doughty and AG Mitchell, Roentgenographic Visualization of Subperiosteal
Hemorrhage in Infantile Scurvy. JAMA, 101 (1933), p. 14. ... 16. BH Berrey, Post-infantile Cortical
Hyperostosis With Subdural Hematoma. Pediatrics, 6 (1950), p. 78.

http://pediatrics.aappublications.org/content/6/1/78.short
POSTINFANTILE CORTICAL HYPEROSTOSIS WITH SUBDURAL HEMATOMA
Report of Case and Review of the Literature

BEDFORD H. BERREY

The Department of Pediatrics, Tulane University School of Medicine, and the Alton Ochsner Medical Foundation, New Orleans.

Abstract

The coexistence of postinfantile hyperostosis and subdural hematoma, an association hitherto unreported, it described in a child 29 months old and a brief review of the 32 previously reported cases of infantile and postinfantile cortical hyperostosis is presented.

The cause of the syndrome is not known but hereditary, infectious, traumatic, allergic and hematologic factors have been considered. Hypervitaminosis A appears to be a definite etiologic possibility in the postinfantile form.

Hyperirritability, fever and anemia with leukocytosis are the outstanding clinical manifestations; characteristic shadows of external thickenings of the corticallis of the bones are pathognomonic.

Since the course of the disease is self-limited, treatment is directed toward symptomatic relief and reduction of intake of vitamin A when it has been excessive.

Received October 17, 1949.

http://www.bmj.com/content/326/7390/616.2 (article must be purchased)
Brain haemorrhage in babies may not indicate violent abuse
BMJ 2003; 326 doi: 10.1136/bmj.326.7390.616/a (Published 22 March 2003)
Cite this as: BMJ 2003;326:616.2

http://www.surveyophthalmol.com/article/S0039-6257%2805%2980058-X/abstract
Survey of Ophthalmology
Volume 39, Issue 6 , Pages 509-512, May 1995
Ruptured vascular malformation masquerading as battered/shaken baby syndrome: A nearly tragic mistake*

Jonathan Wirtschafter (Editor)
, MD
David J. Weissgold
, MD
Donald L. Budenz
, MD
Ian Hood
, MD
Lucy B. Rorke

Abstract
Abstract + References
PDF
References

Abstract

Battered/shaken baby syndrome is a clinical and pathologic diagnosis based on clinical examination, central nervous system dysfunction, and intracranial, optic nerve sheath, and retinal hemorrhages in infants under the age of three years. This report describes a case in which the battered/shaken baby syndrome was suspected because of an unusual parental reaction to an acute, mortal illness in their seven-week-old baby, as well as an acute intracranial hemorrhage coupled with the discovery of optic nerve sheath hemorrhages at necropsy Thorough microscopic study, however, uncovered an unusual subarachnoid vascular malformation, the rupture of which led to the death of the infant. This case underscores the importance of complete postmortem examinations in cases of suspected child abuse, and teaches caution in jumping to hasty conclusions.

Shemie S, Cutz E. Late haemorrhagic disease of the newborn: a fatal presentation of hepatobiliary atresia masquerading as shaken baby syndrome. J Intensive Care Med 1995;10:315 (no online link)

Idiopathic chronic subdural hematoma, MCA infarct and cortical atrophy with status epilepticus in infants
R Kumar, N Singhal… - Indian journal of pediatrics, 2007 - Springer
... It was present in the first infant resulting in clinically apparent cosmetic deformity. Infantile
chronic subdural hematomas are often managed successfully with simple burr hole evacuation
and external drainage. ... A case of scurvy with subdural hematoma.

Significance of skeletal lesions in infants resembling those of traumatic origin
PV Woolley Jr… - Journal of the American Medical …, 1955 - Am Med Assoc
... various osteochondrodys- trophies and dysplasias, aseptic necroses, infections, and infantile
cortical hyperostosis ... Of all these entities, scurvy presented the greatest point for error ... and Astley
were well represented, while two had definite subdural hematoma, one subarachnoid

http://journal.nzma.org.nz/journal/117-1205/1160/content.pdf

THE NEW ZEALAND
MEDICAL JOURNAL
Vol 117 No 1205 ISSN 1175 8716
NZMJ 5 November 2004, Vol 117 No 1205 Page 1 of 2
URL: http://www.nzma.org.nz/journal/117-1205/1160/ © NZMA

Shaken baby syndrome: a medicolegal problem
Has infantile scurvy, or Barlow’s disease, really disappeared? Or is it now diagnosed
as ‘shaken baby syndrome’, without any evidence that the infant was ever shaken?1,2
If so, we may be missing the mark in infant care and subjecting parents to a grave
injustice.3,4
Even Caffey,5 in his original observations of ‘child abuse’, observed subperiosteal
haemorrhages and long-bone fractures typical of infantile scurvy in his six infants
with subdural haematomas.
We do not like to believe that scurvy could possibly occur today in the modern world.
Yet, 6% of a consecutive sample of people attending a Health Maintenance
Organization (HMO) clinic in Arizona were found to have deficient plasma vitamin C
concentrations in 1998 (<11.4 micromols/L), and 30% had deple ted levels (<28.4
micromols/L).6
Blood levels of vitamin C and histamine are inversely related, because L-ascorbic
acid is essential for the removal of histamine by conversion to hydantoin-5-acetic
acid. Thus, severe vitamin C deficiency can cause a 10-fold increase in the blood
histamine concentration.7 Any further production of histamine by vaccinations,
infections, and other stresses can give rise to toxic histaminaemia, which could be
fatal.
We will not be able to solve the present-day medicolegal dilemma regarding shaken
babies, until hospital laboratories are set up to provide accurate, same-day plasma
ascorbic acid and whole blood histamine analyses for all sick infants.7–9

C Alan B Clemetson
Professor Emeritus
Tulane University School of Medicine
New Orleans, Louisiana, USA

References:
1. Fung ELW, Sung RYT, Nelson EAS, Poon WS. Unexplained subdural hematoma in young
children. Is it always child abuse? Pediatrics International. 2002;44:37–42.
2. Donohoe M. Evidence-based medicine and shaken baby syndrome. Part 1: Literature Review,
1966-1998. Am J Forensic Med Pathol. 2003;24:239–42.
3. Geddes JF, Tasker RC, Hackshaw AK, et al. Dural haemorrhage in non-traumatic infant
deaths; does it explain the bleeding in “shaken baby syndrome”? Neuropathol & Applied
Neurobiology. 2003;29:14–22.
4. Clemetson CAB. Child abuse or Barlow’s disease? Pediatrics International. 2003;45:758.
5. Caffey J. Multiple fractures in the long bones of infants suffering from chronic subdural
hematoma. Am J Roentgenol. 1946;56:163–73.
6. Johnston CS, Thompson LL. Vitamin C status of an outpatient population. J Amer Coll Nutr.
1998;17:366–70.
NZMJ 5 November 2004, Vol 117 No 1205 Page 2 of 2
URL: http://www.nzma.org.nz/journal/117-1205/1160/ © NZMA
7. Clemetson CAB. Histamine and ascorbic acid in human blood. Journal of Nutrition.
1980;110:662–8.
8. Clemetson CAB. Barlow's disease. Medical Hypotheses 2002;59:52–6.
9. Clemetson CAB. Capillary fragility as a cause of subdural hemorrhage in infants. Medical
Hypotheses and Research. 2004;1:121-129.

Dianne Jacobs Thompson Est. 2007
Also http://truthquest2.com (alternative medicine featuring drugless cancer treatments)
Author publication: NEXUS MAGAZINE "Seawater--A Safe Blood Plasma Substitute?"