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July 1935

CERVICODORSAL SYMPATHECTOMY IN MULTIPLE SCLEROSISITS RATIONALE AND REPORT OF EIGHT CASES

Author Affiliations

SYRACUSE, N. Y.

From the Surgical Department of Syracuse Memorial Hospital and the Syracuse University, College of Medicine.

Arch NeurPsych. 1935;34(1):99-110. doi:10.1001/archneurpsyc.1935.02250190105003
Abstract

Not since multiple sclerosis was first recognized as a disease entity has a treatment for the condition been of permanent value. Practically everything that has been done has resulted in temporary relief and has been aimed at causing arterial dilatation. It is my purpose to call attention to a method which causes dilatation of the cerebral vessels which is probably permanent, and which may secondarily relieve constriction of the vessels of the spinal cord. The various phases of the symptomatology of the disease will not be discussed. My main endeavor will be to explain the rationale of cervicodorsal sympathectomy as applied in the treatment for this disease.

Undoubtedly, the exact etiologic factor underlying the formation of the sclerotic plaques in multiple sclerosis remains to be determined. Most authorities have suggested that some acute insult to the nerve tissue may cause the onset of the disease. The nature of this insult,

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