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Joseph A. Mufson and Leo M. Davidoff

congenital abnormality of the ectoderm, commonly familial and often inherited as a Mendelian dominant. In Case 2 two separate and distinct meningiomas were removed at one operation. The case is recorded merely as another instance of successful removal of multiple meningiomas. Here, as in Case 1, the tumors were limited to one side of the brain and there was no clinical evidence of von Recklinghausen's disease. SUMMARY AND CONCLUSIONS Two cases are presented, the one with ten meningiomas confined to the right hemicranium, removed at four operations; the other with

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The Use of Products Prepared from Human Fibrinogen and Human Thrombin in Neurosurgery

Fibrin Foams as Hemostatic Agents; Fibrin Films in Repair of Dural Defects and in Prevention of Meningocerebral Adhesions

Franc D. Ingraham and Orville T. Bailey

not amenable to treatment by application of muscle. For example, one such instance was in dealing with a blood vessel malformation exposed in the course of an operation for focal epilepsy. The foam proved to be strikingly effective even when such large venous channels had been opened. The same result has been achieved in dealing with openings in dural sinuses. TABLE I Tumor, intracranial or intraspinal 42 Lead encephalopathy 3 Congenital anomaly (Arnold-Chiari, etc.) 21 Depressed fracture 2 Jacksonian epilepsy 7

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Colonel C. G. de Gutiérrez-Mahoney

semble, à cause que les nerfz se retirent vers leur origine, & en se retirant font grande douleur, & presque semblable aux retractiõs qui se fõt aux spasmes. ” * Phantom limbs are not found in patients who have had a congenital amputation or in those who have undergone amputation in infancy.

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Intracranial Dural Cyst

With Report of a Case

Webb Haymaker and Miles E. Foster Jr.

herniation of the arachnoid through a congenital defect of the dura (see Elsberg, Dyke and Brewer 1 and Lehman 3 ). Thus, they differ fundamentally from the intradural cyst described in the opening paragraph, as well as the intracranial cyst now to be considered. CLINICAL HISTORY First Admission to Hospital: 29 May 1942. Discharged on 3 June 1942 . Chief Complaint . Intense headache and a blurring of vision. Present Illness . The patient, a male aged 34, an enlisted man in the Army and previously a steel worker, had had excruciating intermittent headaches and

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Abraham Kaplan

condition may be of interest. Cerebrospinal rhinorrhea with pneumocephalus may be due to various causes. It may occur spontaneously in a patient with congenital arachnoidal prolongations along the olfactory nerve after a severe sneezing spell. 12 Most often, however, pneumocephalus is secondary to a fracture of the skull involving the posterior wall of the frontal sinus or cribriform plate of the ethmoid bone. As the bone is fractured there is an accompanying tear of the dura which may extend through and communicate with the arachnoid, brain substance or ventricles

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J. Grafton Love

part of the left thigh. The pain had been relieved following the operations. Six years later, she again had complained of low backache and examination elsewhere had resulted in a diagnosis of “congenital back” and she had been advised that she would have to get used to living with it. She had worn a corset with a sacro-iliac support and her symptoms had been relieved. Since that time, she had had recurrent attacks of backache. The backache had been precipitated by colds, menstruation, straining, long trips and bowling. In May, 1943, six months before her registration

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Robert C. L. Robertson

prepared bed it locked itself into position into the roof of the orbit and the supraorbital defect so that no anchoring device was thought necessary. Anatomical closure resulted in primary healing. Postoperative Course . This patient had congenital diplopia on extreme lateral gaze. Following his accident, there was enophthalmos and increased diplopia. The plastic operation reduced his enophthalmos and diplopia but left much to be desired. Therefore, the Ophthalmology Department suggested a fascial transplant to correct the enophthalmos. Within 24 hours following the

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Henry T. Wycis

Dr. Temple Fay, resulted in improvement. Chamberlain's report is important in that it stimulated a growing interest in this condition in this country. The excellent report by List 9 on the neurological changes associated with developmental anomalies of the occipital bone, atlas and axis, further elucidated the problem. From the standpoint of etiology basilar impression may be “primary” (result of a congenital, developmental anomaly) or “secondary” (result of bony softening and moulding). Trauma may be an aggravating feature in any case but is believed never to

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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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Orville T. Bailey and Franc D. Ingraham

histologically unfavorable tumors may at times result in complete cure. Case 3. Markedly increased intracranial pressure and mild left hemiplegia in child of 5½ years. Exploration—solid dural tumor overlying right motor area and adjacent cerebral cortex. Histology—fibrosarcoma. Well 6 years after operation . F.H. (C.H. ♯197480). At the age of 2½ years the patient was seen in the orthopedic outpatient department because of forefoot adduction. This was thought to be a mild congenital disorder and light casts were made. In a photograph made at the time of this visit, it is of