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ATLANTO-OCCIPITAL EVACUATIVE TREPANATION IN CONTUSIONS OF THE BRAIN

ATLANTO-OCCIPITAL EVACUATIVE TREPANATION IN CONTUSIONS OF THE BRAIN This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract The treatment for severe traumatic injuries of the brain may be divided into two large classes: The first class is surgical and is applied to extensive hemorrhages that can be localized. In this group are included such lesions as hematomas, extradural or subdural, and certain subarachnoidal hemorrhages, the situation of which, in the neighborhood of the motor area, for example, provokes localizing convulsions. The second is the class of conservative treatment, the principal weapons of which are watching and waiting, and lumbar punctures. The latter is the treatment par excellence for pure concussion, that is, for a state of paralytic cerebral vasodilatation that follows traumatisms that are not severe enough to provoke anatomic or histologic cerebral lesions. In such cases, lumbar punctures permit alleviation of the hypertension that results from hypersecretion of cerebrospinal fluid caused by cerebral and pial congestion (the plexus is but pia invaginated in the proportion of http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Neurology & Psychiatry American Medical Association

ATLANTO-OCCIPITAL EVACUATIVE TREPANATION IN CONTUSIONS OF THE BRAIN

Archives of Neurology & Psychiatry , Volume 28 (1) – Jul 1, 1932

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Publisher
American Medical Association
Copyright
Copyright © 1932 American Medical Association. All Rights Reserved.
ISSN
0096-6754
DOI
10.1001/archneurpsyc.1932.02240010120007
Publisher site
See Article on Publisher Site

Abstract

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract The treatment for severe traumatic injuries of the brain may be divided into two large classes: The first class is surgical and is applied to extensive hemorrhages that can be localized. In this group are included such lesions as hematomas, extradural or subdural, and certain subarachnoidal hemorrhages, the situation of which, in the neighborhood of the motor area, for example, provokes localizing convulsions. The second is the class of conservative treatment, the principal weapons of which are watching and waiting, and lumbar punctures. The latter is the treatment par excellence for pure concussion, that is, for a state of paralytic cerebral vasodilatation that follows traumatisms that are not severe enough to provoke anatomic or histologic cerebral lesions. In such cases, lumbar punctures permit alleviation of the hypertension that results from hypersecretion of cerebrospinal fluid caused by cerebral and pial congestion (the plexus is but pia invaginated in the proportion of

Journal

Archives of Neurology & PsychiatryAmerican Medical Association

Published: Jul 1, 1932

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