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June 19, 1915

Die Chirurgischen Indikationen in der Nervenheilkunde.

JAMA. 1915;LXIV(25):2088. doi:10.1001/jama.1915.02570510064035

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The author believes that every neurologist should be able to determine and should determine the cases involving the nervous system in which operation should be performed by the surgeon, but he does not approve of the neurologist as a rule being at the same time the operator. The two fields he holds to be quite separate and distinct. The subjects first discussed are exophthalmic goiter and tetany. Three forms of exophthalmic goiter are described, one in which the thyroid is chiefly at fault, one in which both the thyroid and thymus are involved, and a third in which the thymus is the chief organ at fault. In the latter variety the thyroid is only quantitatively involved, but as it is at times difficult to recognize these different forms, he considers it one's duty to remove the thymus as well as to operate on the thyroid in all severe cases of

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