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  Vol. 41 No. 3, September 1940 TABLE OF CONTENTS
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CEREBRAL COMPLICATIONS FOLLOWING SURGICAL OPERATIONS

II. FACTORS WHICH PREDISPOSE TO CEREBRAL ANOXIA

ALBERT BEHREND, M.D.; HELENA E. RIGGS, M.D.

Arch Surg. 1940;41(3):772-780.

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

In a recent article1 we discussed the etiologic, pathogenic and pathologic aspects of the cerebral complications of surgical operation. We have included among the cerebral complications many of the spectacular "anesthetic deaths" and postoperative hemiplegias, as well as the less spectacular but equally tragic postoperative confusional states, psychoses, prolonged comas and convulsions. In all, 21 cases of fatal cerebral complications were reported, with autopsy observations in each case.

Such cerebral complications are not, however, invariably fatal. Indeed, it seems certain that many more patients recover than die, although not all recover without residual stigmas. However, in order to establish the etiologic factors in certain types of postoperative cerebral complications it was thought imperative to use only cases in which careful postmortem examinations had been made.

Thus we have been able to demonstrate that most types of postoperative cerebral complications may occur as a result of cerebral anoxia. In the . . . [Full Text PDF of this Article]


Author Affiliations

PHILADELPHIA

From the Department of Thoracic Surgery and the Division of Neuropathology, the Laboratories, Philadelphia General Hospital.



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