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  Vol. 24 No. 4, April 1932 TABLE OF CONTENTS
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THE EFFECT OF HYPERTONIC SOLUTIONS ON CEREBROSPINAL FLUID PRESSURE

WITH SPECIAL REFERENCE TO SECONDARY RISE AND TOXICITY

GEORGE MILLES, M.D.; PAUL HURWITZ, B.S.

Arch Surg. 1932;24(4):591-601.

Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

This investigation has been undertaken in an endeavor to study the course of the spinal fluid pressure following the intravenous injection of hypertonic solutions.

Of special interest was the recurrence of pressure symptoms and occasional death after apparent clinical improvement in cases of increased intracranial pressure in which treatment with intravenous hypertonic solutions was used, as pointed out by Browder1 and Foley.2

One man and a series of dogs were studied with regard to the effect of hypertonic solutions on the spinal fluid pressure.

In 1901, Cannon3 formulated the theory of the mechanism of cerebral edema, essentially as follows:

1. Edema causes pressure on the vessels, which is transmitted to the arteries and veins, causing an increased blood pressure, with increased transudation and further increase in blood pressure, resulting in a vicious circle leading ultimately to anemia of the brain from vascular compression.

2. At the moment . . . [Full Text PDF of this Article]


Author Affiliations

CHICAGO

From the Department of Pathology, University of Illinois.


Footnotes

Submitted for publication, June 5, 1931.



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