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May 1930

INTERPRETATION OF ENCEPHALOGRAPHIC OBSERVATIONS: COMMENTS ON THOSE FOUND IN THE CONVULSIVE STATE

Author Affiliations

PHILADELPHIA

From the Department of Roentgenology, Hospital of the University of Pennsylvania. The interpretation of the roentgenograms was made possible largely through the aid of the D. J. McCarthy Foundation for the Study of Nervous and Mental Diseases, University of Pennsylvania.

Arch NeurPsych. 1930;23(5):946-985. doi:10.1001/archneurpsyc.1930.02220110108007
Abstract

Encephalography is a procedure in which a series of properly exposed roentgenograms are made of the head in several positions in the erect posture within one hour following the removal of all the available cerebrospinal fluid and its replacement with air by the cisternal or lumbar route.

Dandy (1918-1919) was the first to visualize the possibilities of this method, as well as to demonstrate the cerebral ventricles by the direct introduction of air into them. Bingel (1921-1923) pointed out the value of injections of air by the lumbar route. At about the same time, Martin and Uhler (1922) reported a series of cases in which this method had been of diagnostic value. Since the inception of encephalography many investigators have confirmed its value as a diagnostic procedure in establishing the character, localization and extent of cerebral lesions.

TECHNIC  The success of this procedure depends on the cooperation of neurologist, neurosurgeon

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