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January 1946

The Care of the Neurosurgical Patient, Before, During and After Operation.

Arch NeurPsych. 1946;55(1):77. doi:10.1001/archneurpsyc.1946.02300120087010

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


This little book describes the standard technical procedures and equipment used in neurologic surgery at the author's clinic. The general outline of history taking is given, and the details of special procedures, such as lumbar puncture, myelography and ventriculography, are described in detail. The technic of various typical operations is also given. Extremely valuable is the description of some of the finer points in postoperative nursing care.

It is a highly personal book, as befits a publication from the hand of so experienced a surgeon. Electroencephalography is briefly dismissed as a technic in the experimental stage; and while lumbar puncture is mentioned, little guidance is given to the interpretation of results. The Wilkens technic of intradural approach to the gasserian ganglion is advocated. The discussion of the indications for exploration for herniation of the intervertebral disk is refreshingly direct and easily understood.

This is an excellent book for beginners in