Volume 1

Surgery of the brain and spinal cord : based on personal experiences / by Fedor Krause ; English adaptation by Max Thorek.

  • Krause, Fedor, 1857-1937
Date:
1910-
Catalogue details

Licence: Public Domain Mark

Credit: Surgery of the brain and spinal cord : based on personal experiences / by Fedor Krause ; English adaptation by Max Thorek. Source: Wellcome Collection.

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    They are, however, readily deligated, or better still surrounded with a double ligature and divided. Whether the exposure of both hemispheres is ac¬ complished at one sitting or the final steps of the operation are postponed for three weeks, depends upon the condition of the patient and the indications for which the operation is undertaken. If the pa¬ tient’s condition will warrant it, the former procedure is the preferable one. The Upper Surface of the Cerebellum is exposed for operative attack as the outcome of lifting: the tentorium with the retractor. In cases where the neoplasm extends deeply along the supe¬ rior surface of the cerebellum the hemispheres must be exposed in the manner just described, in order to achieve sufficient room for thorough inspection, and to employ measures of relief. (Fig. 17.) A male patient, aged thirty-two, was sent to me by H. Oppenheim because of a suspected tumor of the cerebellum. The dominant symptoms of in¬ creasing cerebral pressure demanded immediate re¬ lief of intracranial pressure by means of drainage of the posterior horn of the lateral ventricle. (See Subcutaneous Drainage of Cerebral Ventri- cles, page 258), with the silver canula, together with decompression trephining over the cerebellum, with¬ out further investigation of the symptoms as to local¬ ization of the tumor. The patient improved so rapidly after the em¬ ployment of these measures that further attempts at