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August 22, 1977

Current Controversies in Neurosurgery

JAMA. 1977;238(8):897. doi:10.1001/jama.1977.03280090061033

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Controversy is evidenced very early in Dr Frank Mayfield's comment on page 11, where he states that the number of operations done per neurosurgeon appears relatively low, indicating that neurosurgeons as they "should be" are rendering care to nonsurgical problems and the small number of operations indicates self-restraint. Many younger neurosurgeons believe that there are too many neurosurgeons, that they are not doing enough surgery, and that they are performing as neurologists, which they did not train to be.

The chapters on various entities, such as treatment of hyperextension-flexion injuries, craniopharyngiomas, and acromegaly, offer diverse opinions, all of which are well written. Many other areas of the book are not really controversial but offer complementary approaches to the treatment of the condition under discussion. These chapters, while not controversial, are informative and offer a concise, broad overview of the subject.

The latter part of the book, which deals with the