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July 1958

Der Hirnabszess

AMA Arch NeurPsych. 1958;80(1):61. doi:10.1001/archneurpsyc.1958.02340070079008

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The author presents a brief, comprehensive review of intracranial suppuration, including osteomyelitis of the skull, epidural and subdural empyema, intracranial venous thrombosis, purulent meningitides, and brain abscess, which comprises approximately one-third of the book. The discussion of each clinical aspect is preceded by a detailed consideration of pathogenesis. The review of the structure and dynamics of venous drainage described in the chapter on venous thromboses is one of the most detailed available. After a discussion of the etiology and pathogenesis of acute and chronic lesions, clinical symptoms are divided into those due to general infection, meningeal irritation, increased intracranial pressure, and focal brain disease. The last group is the basis for a comprehensive review of cerebral localization, this achievement being the first step in the management of brain abscess. He repeatedly emphasizes the nonlocalizing significance of impaired highest integrative functions. Special methods, including angiography, ventriculography, electroencephalography, and pyography, are analyzed,