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  • Pirie, Alexander Howard

    Dissertation

    During the last five years, I have had under my sole charge in private practice the care of ten cases of Haemorrhage into the Internal Capsule. I have made a practical study of these cases, by writing graphic methods and by photography . These notes and records form the basis of this thesis. I shall endeavour to make it as practical as possible and shall therefore give an account of these ten cases and then state my own observations regarding the etiology, pathology, prognosis, and treatment of these ten cases. A most important question after cerebral haemorrhage is "will the patient be able to walk again, and if so to what extent?" I have made this subject of AFTER GAIT a special study. I shall show by photographic records the characteristic gait that comes on after a cerebral haemorrhage into the Internal capsule. I shall describe the first case - that of A.P. more fully than the others as it is a very typical case and serves well to illustrate the symptoms of cerebral haemorrhage into the internal capsule .The after gait in each case has been recorded in which the patient was sufficiently able to walk, to make an intelligent record.