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Benign Cysts of the Brain

An Analysis with Comparison of Results of Operative and Non-Operative Treatment in Thirty Cases

John H. Drew and Francis C. Grant

pathologic process in those patients who suffered injury after birth must be ascribed directly to the injury, since it is generally agreed that such trauma is an important cause of cerebral scarring and cyst formation. 4. Pediatric Development . Sixteen patients suffered trauma or severe infection (1 patient) before the age of 4—a factor which might be expected to alter the normal developmental pattern. Ten showed some defect of this pattern, ranging from slowness in feeding, walking, etc., to obvious, early mental deficiency. Six patients, among them some

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Non-Traumatic Atlanto-Axial Dislocation

Report of Case with Recovery after Quadriplegia

Leonard A. Titrud, C. A. McKinlay, Walter E. Camp and Hewitt B. Hannah

recovery after reduction of the dislocation. Our adult patient, who had complete recovery of quadriplegia following surgical spinal cord decompression, fits into this group. Third Type . The dislocation is complete, with sudden death from spinal cord compression, such as in the cases of Bell, 1 Greig, 8 Reid, 12 and Jones. 16 In 1935, after a thorough search of the literature, Hess, Bronstein, and Abelson 10 found a total of 22 cases and added 2 of their own. Although this is mainly a disease of children, they found mention of it in only one pediatric journal. 14

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William P. Williamson and Pat A. Barelli

child received penicillin daily before and after surgery. His course was uneventful, and he was dismissed on the 12th postoperative day. There was no discharge from the nose following surgery, and it had not recurred when the patient was seen 14 months after operation. The mass was still present in the right nasal cavity, somewhat reduced in size, and not causing symptomatic nasal obstruction. Case 2 . P. J., a 4-year-old white female, was admitted to the Pediatric Service on Mar. 14, 1950 because of drainage of clear fluid from the nose. Two years previously she

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Nonobstructive Hydrocephalus

Treatment by Endoscopic Cauterization of the Choroid Plexus. Long Term Results

John E. Scarff

infant's head. Tables indicating the standard rate of growth for infants' heads are given in all pediatric texts, but the cranial measurements are of relatively little value for establishing the presence of increased intracranial pressure in any individual case. The size of the head normally varies considerably among healthy infants. The relative circumference of head and chest is likewise valueless in many instances for the same reason. In the borderline case, even the rate at which the head grows provides no reliable information as to the presence of increased

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The Surgery of Cranium Bifidum and Spina Bifida.

A Follow-up Report of Sixty-Four Cases

George A. Cohn and Wallace B. Hamby

mortality rate to be over 35 per cent after the 5th year. This is not the case in modern series 3, 5 and in our experience; children only a day or two old tolerate the procedure as well as do the older patients. The improved results probably reflect the better pediatric management available at present and the better appreciation of the problems inherent in the surgery of the newborn. The antibiotic drugs seem to have played only a small role, since approximately half of the present series antedated the availability of these agents. Some of the complications of spina

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Dwight Parkinson, Harry Medovy and J. R. Mitchell

cases among 70,000 pediatric admissions and the youngest patient was 9 years old. Of Stookey's 16 160 patients with cord tumor, 8 were under the age of 12. Elsberg's 8 youngest patient was 3 years old. Buchanan's 6 youngest patient was 3 months old. We have been unable to find any recorded case of a spinal cord tumor evident at birth other than teratomas, dermoids and those associated with developmental defects such as bifida, meningocele or sinus. 15 REFERENCES 1. Adson , A. W. Intraspinal tumors; surgical consideration. Collective

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Robert H. Pudenz, Findlay E. Russell, Arthur H. Hurd and C. Hunter Shelden

growth in the area spanned by the tube, we have collaborated with our pediatric colleagues in measuring the distance from the tip of the mastoid to the xiphoid in 64 children from birth to 5 years of age. In the newborn infant this measurement varies from 14 to 16 cm. and at 5 years from 20 to 22 cm., an average increase of 6 cm. This figure is considerably smaller than we anticipated. Furthermore, silicone tubing is elastic and easily lengthened by stretch. If the ventricular end of the tube is not fastened to the dura mater or surrounding tissues, it is possible that

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Fred D. Fowler and Donald D. Matson

partially to the fact that these patients came entirely from a pediatric population; however, this has also been the experience of other authors who have drawn their patients from a more widely scattered range of age. The presenting symptoms depend on the portion of the optic pathway that is first involved, and although the same pathological process may be seen either intraorbitally or intracranially, the clinical picture varies depending on the origin of the tumor. Within the primarily intraorbital and primarily intracranial groups there is a certain uniformity of

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Arthur R. Elvidge, Charles L. Branch and Gordon B. Thompson

increased intracranial pressure. As far as collecting the amount of urine is concerned, we tried that. However, we had technical difficulties on the pediatric ward and we didn't feel catheterization was justified. So we settled for frequent recordings of the specific gravity. I am sure you don't recall that slide but there were several entries throughout the study and we had specific gravities of random specimens as high as 1.026 and as low as 1.006. So that we considered that specific gravity stayed within normal limits. Also in the treatment of cardiac edema, the

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The Harvey Cushing Society

Past, Present and Future

Howard A. Brown

throughout its pediatric years, survived remarkably well its growing pains, and has emerged strong and healthy into its present maturity at twenty-six years of age. This, then, is our present status—a large neurosurgical society representing neurosurgery throughout the Americas, and with associations abroad as well—a society that has contributed a great deal to the guidance, growth and stature of neurosurgery over the past quarter century. Now, we must look ahead and consider our future plans. I believe that most of you will agree that our continued growth is already