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February 1934

CONTINUED SPINAL DRAINAGE

Author Affiliations

NEW YORK
From the Harriet Lane Home of the Johns Hopkins Hospital and the Department of Pediatrics, Johns Hopkins University, Baltimore.

Am J Dis Child. 1934;47(2):351-353. doi:10.1001/archpedi.1934.01960090092008
Abstract

Repeated drainage of the spinal fluid has often been advocated in the treatment of patients having inflammatory conditions of the central nervous system. This therapeutic procedure has a dual basis; first, it aids in the removal from the body of the etiologic organism and its toxic products, and, secondly, it helps to maintain a lowered pressure within the central nervous system. The efficacy of the latter action has been demonstrated by the work of Weed1 and Kubie.2

The simplest method by which such drainage can be accomplished is by lumbar puncture. Lately several workers have advocated continued drainage through a needle left in place for several hours. Retan3 reported good results when this method was coupled with the intravenous injection of large amounts of hypotonic saline solution, especially in diseases of the central nervous system characterized by perivascular round cell infiltration, such as poliomyelitis and encephalitis. However,

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