[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address Please contact the publisher to request reinstatement.
[Skip to Content Landing]
January 23, 1909


Author Affiliations

Professor of Neuropathology and Associate Professor of Neurology in the University of Pennsylvania PHILADELPHIA

From the Department of Neurology and the Laboratory of Neuropathology of the University of Pennsylvania.

JAMA. 1909;LII(4):272-279. doi:10.1001/jama.1909.25420300012001e

Since the publication of the paper by Dr. Charles H. Frazier and myself,1 some articles of much interest bearing on decompressive operations have appeared. It is the author's intention to refer briefly to the more important of these, to report some cases not included in the former paper with Dr. Frazier, to discuss palliative operation where choked disc is the only important sign of intracranial disease, and to report cases of this character, to speak of rapid increase of blindness under certain conditions as a result of decompression, and of palliative operation performed when the respiration has ceased, but the heart is continuing to beat.

Recurrence of choked discs may occur after decompression, as described by de Schweinitz and Thomson.2 Their patient was trephined for the relief of the symptoms of a tumor, believed to be situated in the right motor area. The tumor was not removed. Three