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Edgar F. Fincher, Bronson S. Ray, Harold J. Stewart, Edgar F. Fincher, T. C. Erickson, L. W. Paul, Franc D. Ingraham, Orville T. Bailey, Frank E. Nulsen, James W. Watts, Walter Freeman, C. G. de Gutiérrez-Mahoney, Frank Turnbull, Carl F. List, William J. German, A. Earl Walker, J. Grafton Love, Francis C. Grant, I. M. Tarlov, Thomas I. Hoen and Rupert B. Raney

nervous system is a very unusual occurrence. May 18, 1944 DILATATION OF THE VERTEBRAL CANAL ASSOCIATED WITH CONGENITAL ANOMALIES OF THE SPINAL CORD Three cases of myelodysplasia are presented associated with a dilatation of the spinal canal at the site of the anomaly in the cervical, lower thoracic, and lumbar regions. A case of vascular anomaly angioma and aneurysm of the spinal cord accompanied by enlargement of the spinal canal is also reported. The roentgenographic and pathologic manifestations of myelodysplasia are discussed. DISCUSSION Dr. Leo M

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Wallace B. Hamby

U ntil quite recently intracranial aneurysms were mere autopsy room curiosities. Later, their presence was suspected before death but no active treatment was possible. Occasionally they were disclosed accidentally at operation, either to be viewed respectfully before the surgeon closed the wound or to be recognized only in an overwhelming hemorrhage. Now, in increasing numbers, they are being diagnosed and are being treated successfully in planned surgical attacks. Sudden, profuse hemorrhage continues to be the greatest obstacle to successful surgery in these

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Carotid Sinus Syncope Secondary to Ligation of Carotid Vessels for Intracranial Arterio-venous Aneurysm

Report of a Case with Surgical Cure. Electroencephalographic and Electrocardiographs Studies

Ephraim Roseman, Benjamin B. Whitcomb and Frederick G. Woodson

A s a direct result of the present war, numerous freak injuries of the nervous system and/or the vessels directly supplying the brain and spinal cord have been observed. The following case report is that of a soldier who received severe injuries to the head and body with the subsequent development of an intracranial arterio-venous aneurysm which was controlled by ligation of the carotid vessels. As a result of this operative procedure, which was aimed particularly towards the saving of the only remaining eye, opportunity was afforded for the study of the

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Robert C. L. Robertson Captain William G. Peacher July 1945 2 4 281 284 10.3171/jns.1945.2.4.0281 An Automatic Self-Retaining Laminectomy Retractor Mark Albert Glaser July 1945 2 4 285 286 10.3171/jns.1945.2.4.0285 Carotid Sinus Syncope Secondary to Ligation of Carotid Vessels for Intracranial Arterio-venous Aneurysm Major Ephraim Roseman Captain Benjamin B. Whitcomb Captain Frederick G. Woodson July 1945 2 4 287 305 10.3171/jns.1945.2.4.0287 Histologic Studies of the Brain Following Head Trauma Joseph P

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Richard Upjohn Light

arterial aneurysms. Ithaca , N. Y.: Comstock Publishing Co., Inc. , 1944 , viii, 147 pp. Dandy , W. E. Intracranial arterial aneurysms. Ithaca, N. Y.: Comstock Publishing Co., Inc. , 1944, viii, 147 pp. 17. Doyen , E. Surgical therapeutics and operative technique. H. Spencer-Browne, Collaborator. New York : William Wood & Co. , 1917 , English ed. , 1 : 439 – 452 . Doyen , E. Surgical therapeutics and operative technique. H. Spencer-Browne, Collaborator. New York: William Wood & Co. , 1917, English ed., 1

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James C. White and Hannibal Hamlin

sutured posterior tibial nerve, which followed the development of a large pulsating false aneurysm from an undiscovered laceration in the side of the peroneal artery. Fig. 3. Position of metallic sutures indicates that nerve ends remain in good approximation. The photograph of this x-ray has been slightly retouched in order to pick out the metallic sutures, as these are too fine to reproduce well. Fig. 4. Evidence of separation of sutured ends of nerve. At operation tantalum sutures were placed similar to those illustrated in Fig. 3 . The gap

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C. Hunter Shelden, Robert H. Pudenz and Joseph S. Restarski

Recently in considering the surgical exploration of the circle of Willis for a suspected aneurysm, it seemed worth while to try a new method of approach in the hope of improving visibility in the region about the optic chiasm. A head rest was developed ( Fig. 1 ) which securely held the head in such a position that the floor of the anterior fossa was in a horizontal rather than vertical plane. The patient was placed on his abdomen with the neck extended so that the patient's face was toward the surgeon ( Fig. 2 ), much as one would lie on the floor to read with

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John T. B. Carmody

Aneurysms involving the circle of Willis are of common occurrence. In spite of their frequency, it is seldom that one attains unusual size, and it is a decidedly rare occasion when the history is found to extend over a period of 25 years. In Dandy's recently published work comprising 133 aneurysms, one case only covered a 22-year history, although there were several others in the age group of 10 to 17 years. 3 The most unusual feature about the aneurysm described in the present report was not associated with its longevity or size, but rather concerned its

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Intracranial Angiography

I. The Diagnosis of Vascular Lesions

Carl F. List and Fred J. Hodges

is used at 20 MA and 75 KV; for anteroposterior projection, exposure time is increased to 3 seconds and kilovoltage to 85. OBSERVATIONS Thirty-five cases of vascular intracranial lesions have been studied by this method. Our observations will be divided into the following groups: (1) Vascular occlusions and coarctation (2) Intracranial aneurysms (3) Arteriovenous fistulas (4) Congenital arteriovenous malformations 1. VASCULAR OCCLUSIONS AND COARCTATION In massive vascular lesions of the brain, angiography is an

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3 1 58 73 10.3171/jns.1946.3.1.0058 The Use of Curare in the Treatment of Spastic Paralysis Captain David F. James Lt. Col. Spencer Braden January 1946 3 1 74 80 10.3171/jns.1946.3.1.0074 Aneurysm of the Internal Carotid Artery Associated with Hypothalamic Fits Comdr. John T. B. Carmody January 1946 3 1 81 86 10.3171/jns.1946.3.1.0081 Pineal Teratoma: Report of Case George Ehni January 1946 3 1 86 94 10.3171/jns.1946.3.1.0086 Technique of Pantopaque Myelography Major Benjamin B. Whitcomb Captain George M