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Article
December 10, 1932

GENERAL CRITERIA FOR THE DIAGNOSIS OF BRAIN TUMORGENERAL SYMPTOMS

JAMA. 1932;99(24):2012-2019. doi:10.1001/jama.1932.02740760022007
Abstract

This paper is a plea for the early diagnosis of brain tumors. The increasingly gratifying end-results of neurosurgery in cranial neoplasms are due not only to perfection of their technic but to the courage and ingenuity of neurosurgeons. The responsibility for still more satisfactory results rests, however, on the medical neurologist and the practitioner of medicine in other fields. Too often even the neurologist delays recognition of a cerebral growth far beyond the time when the best operative results are possible. Therefore, not only does the practitioner other than the neurologist need instruction in the early diagnosis, but the neurologist needs constantly to be reminded of certain vitally important diagnostic criteria.

The first false tradition to be attacked in connection with the diagnosis of brain tumor is the impression which is still held widely that the triad of headache, vomiting and choked disk is necessary for the diagnosis. There is

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