The question as to whether or not we shall operate for tumors in this region, and if we operate, whether the operation shall be radical or palliative, can be decided only by an accurate topographic diagnosis. The subject of differential topographic diagnosis is therefore of prime importance. Surgical intervention is dangerous, or not, in the cerebellar region in direct ratio to the amount of exploration, handling and bruising to which the cerebellum is subjected. Moreover, if we know, from the location of the growth, that the chief disturbance produced is by an internal hydrocephalus, as in Case 1, the nature of the surgical interference will be different from that which is indicated if the growth itself, by local pressure, is threatening the life of the patient. More accurate topographic diagnosis will not
HOPPE HH. THE TOPOGRAPHIC DIAGNOSIS OF SUBTENTORIAL BRAIN TUMORS. JAMA. 1910;55(23):1966–1974. doi:10.1001/jama.1910.04330230024008
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