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August 1940


Arch Surg. 1940;41(2):244-256. doi:10.1001/archsurg.1940.01210020040006

There is occasionally presented to the neurosurgeon the problem of dealing with dural meningiomas that have invaded the longitudinal sinus and especially with bilateral dural tumors in which the longitudinal sinus is incorporated in the mass. Unless the affected part of the longitudinal sinus is resected there is no possibility of curing the tumor, and, in most instances, so extensively has the tumor grown to the falx and sinus that even removal of the mass with the full expectation of recurrence is well nigh impossible. When the great size of the longitudinal sinus and the numerous large tributary cortical veins entering it from both sides are considered, it is not difficult to realize that surgeons have hesitated to resect the longitudinal sinus both from fear of producing irreparable harm to such a seemingly all-important venous trunk and from the technical difficulties involved. There has been scant evidence indeed to support

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