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December 15, 1978

Adverse Mechanical Tension in the Central Nervous System: An Analysis of Cause and Effect; Relief by Functional Neurosurgery

Author Affiliations

University of Illinois Chicago

JAMA. 1978;240(25):2776. doi:10.1001/jama.1978.03290250080041

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


Hidden behind this forbidding title is a text that is radical, revolutionary, and incredible. It gets at the roots of things, should overturn cherished concepts, and parts of it are difficult to believe. Using cadaver, animal, and clinical material, Breig shows how tension in the brain, brain stem, spinal cord, and nerve roots can give rise to local and distant signs and symptoms. There are ample illustrations of the mechanical analyses and principles that are used to support his therapeutic suggestions and practice.

Part 2 is the clinically oriented segment of the book, concentrating on the neurological, neurosurgical, radiological, and orthopedic aspects of the abnormal tensile forces produced by a variety of orthopedic and neurological abnormalities. Clinical syndromes include facial neuralgias, spasticity, bladder dysfunction, as well as cervical and lumbar spondylosis, disk hernias, trauma to the spinal cord, confusional states, and multiple sclerosis.

In the third section, Breig discusses functional