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ALBERT S. CRAWFORD, M.D.

Arch Surg. 1947;55(5):523-529.

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

MEDULLARY tractotomy has already become an established procedure as a method of severing the afferent pain pathways—the spinothalamic tracts. Several surgeons deserve mention as pioneers in developing this procedure. Schwartz and O'Leary¹ reported the first case in 1941 after Sjoquist,² Rowbottom,³ Walker⁴ and Grant, Groff and Lewy⁵ proved the method feasible from their experiences with medullary tractotomy of the descending root of the fifth cranial nerve. White⁶ also reported a case in 1941, pointing out that the incision should be made caudad to the lower end of the olive. Adams and Munro⁷ in 1944 reported 3 cases, in 1 of which a bilateral tractotomy was done in two stages, with survival in all. In his cases, however, the upper level of analgesia for pain was in the upper dorsal region. He apparently felt that it was not feasible to try for a higher . . . [Full Text PDF of this Article]

Author Affiliations
Surgeon-in-Charge, Division of Neurological Surgery, Henry Ford Hospital DETROIT

Footnotes
Read at the fourth annual meeting of the Central Surgical Association, Chicago, Feb. 21, 1947.

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