Observations on the Treatment of Ependymal Gliomas if the Spinal Cord.

Date de parution : 1931

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A propos de cet article

Brain, 54/2. - London, John Bale, Sons & Danielsson, Ltd., 1931, 8°, 30 pp., 11 Figs., 1 plate, orig. wrappers. Offprint! "It is a commonplace that the spinal cord must be treated with the greatest respect at operation. Interference with it during removal of an extramedullary tumour, by injudicious or rough manipulation, is apt to leave the patient more paralysed than he was before operation, and this risk is greatly increased when attempts are made to remove a tumour from within the spinal cord itself. Removal of tumours from the cervical or upper thoracic spinal cord has at times been followed by respiratory failure or by fatal hyperthermia. It was doubtless for this reason that Elsberg and Beer introduced the "extrusion method" of treatment of intramedullary tumours. By this method at the first operation the tumour is exposed by an incision through the posterior columns, a week later the wound of operation is reopened and as much of the tumour as has meanwhile extruded itself through the incision in the spinal cord is removed. In this way the surgeon aims at removal of tumour tissue with minimum injury to the spinal cord itself. More recently it has been suggested that no attempt should be made to remove intramedullary tumours, but that instead they should be treated by X-rays, surgical measures being restricted to decompressive laminectomy. The object of this paper is to show that there are certain intramedullary gliomas that can be completely removed without serious permanent injury to the spinal cord." Cairns & Riddoch "The development of the successful treatment of spinal injuries has been inextricably linked to Sir Ludwig Guttmann and Stoke Mandeville Hospital. The role of George Riddoch has largely been ignored or mentioned merely in relation to Ludwig Guttmann and his appointment as the first Resident Medical Officer at Stoke Mandeville Hospital. Riddoch's contribution was far more significant. New material, comprising Riddoch's letters and memoranda written between 1939 and 1944, reveals his paramount involvement in the setting up of spinal injury units across the UK between 1941 and 1944, and his skill as an administrator and a clinician. Riddoch must be given credit for finding and appointing Ludwig Guttmann." J. R. Silver & M.-F. Weine: George Riddoch (1888-1947): the driving force behind the treatment of spinal injuries in the UK during the Second World War. J R Coll Physicians Edinb. 48/3 (2018): pp. 264-271. Sir Hugh William Bell Cairns KBE FRCS (1896-1952) was an Australian neurosurgeon. For most of his life he lived in England. His concern about despatch rider injuries sparked research which led to increased use of motorcycle helmets.…

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Détails bibliographiques

Titre
Observations on the Treatment of Ependymal Gliomas if the Spinal Cord.
Auteur
Cairns, Hugh & Riddoch, George
Année de publication
1931
Reliure
Couverture souple
Catalogues du vendeur
Chirurgie

Antiq. F.-D. Söhn - Medicusbooks.Com

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