This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

THE FLUID CONTENT OF THE BRAIN AFTER TRAUMA TO THE HEAD

COBB PILCHER, M.D.

Arch Surg. 1937;35(3):512-527.

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

On no subject is there greater divergence of opinion than on the proper methods of treatment of injuries of the head with their resultant cerebral damage. Fay¹ advocated an extreme degree of dehydration by the use of hypertonic solutions, both intravenously and by bowel, and rigid restriction of the fluid intake; Munro² advised reduction of pressure and removal of blood by frequent spinal punctures; Sachs³ expressed the opinion that spinal puncture is dangerous and contraindicated, and Dandy⁴ advised against the use of both hypertonic solutions and spinal puncture, preferring operative decompression in cases in which there is evidence of a high increase in the intracranial pressure.

The reason for the contradictory nature of these opinions is not difficult to find. It is based on ignorance of the mechanism of the cerebral damage attending injuries of the head. The literature abounds with postmortem statistics and clinical opinions . . . [Full Text PDF of this Article]

Author Affiliations
NASHVILLE, TENN.

From the Department of Surgery, Vanderbilt University School of Medicine.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?