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William J. German

fistula for cerebrospinal rhinorrhea: abstract of a published paper with comment on subsequent experience. Proc. Mayo Clin. , 1942, 17: 281–286 . Adson , A. W. Cerebrospinal rhinorrhea; surgical repair of fistula: report of a case. Proc. Mayo Clin. , 1941, 16: 385–387. Cerebrospinal rhinorrhea: surgical repair of craniosinus fistula. Ann. Surg. , 1941, 114: 697–705. Results following surgical repair of craniosinus fistula for cerebrospinal rhinorrhea: abstract of a published paper with comment on subsequent experience. Proc. Mayo Clin. , 1942, 17: 281

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Collab : The Editorial Board

influence. The Society hopes at a later date to have representation from other parts of the world in which neurosurgery flourishes. The Society is glad in the first number of the Journal to be able to include the paper of our member, Franc Ingraham, and his colleague, Orville Bailey, since it records a technical advance which may prove comparable in importance with the introduction of the silver clip, endothermy and suction. The Society will welcome papers of this character as well as records of other types of neurosurgical and neurophysiological experience based on

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Joseph A. Mufson and Leo M. Davidoff

were again symptoms of recurrence. His sensorium became cloudy and he began to complain of severe headaches over the right half of the head. He became increasingly drowsy and soon sphincteric incontinence appeared. Seventh Admission . October 20, 1943. A pneumoencephalogram was made on October 22, 1943, and revealed once more a shift of the lateral and third ventricles to the left. In addition gas in the fourth ventricle appeared displaced to the left. In view of our previous experience, there was every indication that we were dealing with one and probably multiple

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Kenneth G. McKenzie

H and burrs and perforators can be good, bad or indifferent. For years only the indifferent and bad appeared on my instrument table. Other surgeons may have had similar exasperating experiences. The author believes that these drills may help to clear the blue haze from those operating rooms where cutting instruments fail to cut. Drill A has been in use for some years. It was originally modified from a stock metal worker's drill in the hope that it would cut a hole big enough for all purposes. In the larger sizes it would not cut with satisfaction. As

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James C. White and Robert W. Gentry

S ince mandl (1925) and Swetlow (1926) proposed paravertebral infiltration of the upper thoracic sympathetic ganglia with procaine and alcohol for the relief of intractable angina pectoris, this method has been used with increasing success. With experience it has become apparent that the results are thoroughly satisfactory if the upper three or four thoracic ganglia and their rami are thoroughly impregnated. It must be borne in mind, however, that alcohol, even when injected in 5 cc. amounts, will not diffuse far in the loose areolar tissue between the

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Gilbert Horrax

successful series of operations upon the pituitary gland that had been undertaken up to that time by any one person. Undoubtedly, his results were to be attributed to two factors, first, his wide experimental laboratory experience with the gland in animals, and secondly, his consummate skill as a surgeon. The operation which he used for the most part in his earlier pituitary work, and indeed until about the year 1927, was a transsphenoidal approach which he modified and improved from the procedures used by A. E. Halstead and Hirsch. By Cushing's method a considerably

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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

( Table I ), and the need for hemostasis has varied from being almost inconsequential, to dire emergency. The method of application has been essentially the same in all instances. The field has been dried as well as possible by suction, an appropriate sized piece of foam soaked in a saturated solution of human thrombin placed on the bleeding surface and held in position for several minutes with cotton patties or (in the case of a deep wound) lintene strips. The first experiences were limited to those operations in which control of bleeding was extremely difficult and

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contributions to military surgery augmented the record of the Medical Department of the U. S. Army in World War No. 1 enormously. With the beginning of that conflict, he turned his interest to the military and devoted his time and energy throughout the whole war to improving the surgical management of the wounded. Both as an active operating surgeon with our own and the British Expeditionary Forces, he contributed his mature experience to the end that intracranial injuries were handled expeditiously and with a hugely lessened mortality. It is safe to say that his invaluable

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Claude C. Coleman

one than indicated by the clinical examination. It was the experience in the nerve reconstruction centers of the First World War that in many nerve injuries when there were thought to be signs of satisfactory nerve regeneration there was found complete division with wide separation of the nerve segments and no possibility of spontaneous regeneration. The early recognition of nerve injuries in war wounds is of greatest importance. Because of the frequency of nerve injuries in war wounds of the extremities, it is essential that examination be made at the earliest

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W. M. Craig

R ehabilitation of the wounded Soldier, Sailor and Marine is receiving more and more attention of the members of the Medical Departments of the Army and the Navy. Our responsibilities as Medical Officers do not end with the suture of the wound, the setting of a fracture, or the repair of a damaged nerve, but continue until the patient is fit to return to duty or discharge from the service in the best possible physical condition. Owing to our lack of practical experience we have been interested in the methods used by our Allies and as an example of what can