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April 1949

PERCUTANEOUS CEREBRAL ANGIOGRAPHY AND CEREBRAL ABSCESS

Author Affiliations

OSLO, NORWAY

From the Department of Neurology, G. H. Monrad-Krohn, M.D., Director; and the Department of Otolaryngology, O. Opheim, M.D., Director, University Clinic, Oslo, Norway.

Arch NeurPsych. 1949;61(4):352-368. doi:10.1001/archneurpsyc.1949.02310100016002
Abstract

THE DIAGNOSIS and treatment of cerebral abscess have been subjects of discussion during recent years. Methods of exact focal diagnosis and detection of multiple abscesses have been lacking. The variety of the therapeutic methods is indicative of the unsatisfactory results obtained in the past.

In 1926 Dandy1 recommended a conservative procedure in the treatment of chronic abscess of the brain and maintained that many patients died not of the abscess, but as a result of too active therapy. In Dandy's opinion, the acute cerebral abscess is unsuitable for surgical intervention. During the last several years, most neurosurgical clinics have adhered to the therapeutic principles established by Vincent and his associates2 in 1937. Pennybacker,3 using this method, reported his results in 50 cases of cerebral abscess.

Most otolaryngologists have been in favor of drainage of the abscess cavity, but the methods of approach to the abscess have differed

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