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September 22, 1906


Author Affiliations

Professor of Neurology, Columbia University. NEW YORK.

JAMA. 1906;XLVII(12):926-931. doi:10.1001/jama.1906.25210120022001e

It is twenty years since the first operations on the brain for the relief of tumors, epilepsy, and abscess were undertaken, and the data for final conclusions in regard to the propriety of such operations in various conditions are now available.

The enthusiasm with which these operations were performed at the outset has subsided and it is now possible to take a broader and calmer view of the entire subject; to realize the limitations of such operations; to appreciate their true value and to determine with considerable exactness the class of cases in which brain surgery promises success.

In this review I shall endeavor to present conclusions derived from an extensive experience in this field, and when statistics are cited too great stress will not be laid on them, as I realize that very many cases, both of a favorable and unfavorable kind, have not been published. I shall take

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