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June 19, 1967

Postoperative Complications in Neurosurgical Practice: Recognition, Prevention, and Management

Author Affiliations

Lexington, Ky

JAMA. 1967;200(12):1135. doi:10.1001/jama.1967.03120250169034

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The restrictive title hardly prepares the reader for an encyclopedia of operative neurosurgery. The authors, practicing neurosurgeons, take complication to mean therapeutic failure in the broadest sense. Accordingly, this book deals with the incidence and causes of neurosurgical failures, and does so exceedingly well.

The longest of 12 chapters pertains to brain tumors. Following an introductory section on operative and postoperative problems in general, surgical aspects of individual tumors are discussed in detail. Astrocytomas of the cerebral hemisphere, third ventricle, and pons, having particular complications related to their locations, receive separate attention. In the section on acoustic neurinomas, complications are grouped logically into four periods: during surgery and immediate, intermediate, and late periods after surgery. Under pituitary adenomas the authors discuss six causes of death and eight nonfatal complications including recurrence. Other tumors are treated in proportion to their clinical importance.

The chapter dealing with aneurysms contains detailed