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Article
July 15, 1893

SOME EFFECTS OF THE TAKING OFF OF THE CEREBRO-SPINAL PRESSURE. ANEMIA OF THE BRAIN AND • WOUNDS OF THE SINUSES.Read before the Missouri State Medical Association at Sedalia, Mo., May, 1893.

JAMA. 1893;XXI(3):86-89. doi:10.1001/jama.1893.02420550020001d

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Abstract

It does not fall to the lot of every practitioner to observe the effects of reduced intra-cerebro-spinal pressure, and as cases of this character are liable to occur with greater frequency, now that cerebral and spinal surgery has become more popular, and is being more frequently done—it may not be amiss for me to detail the effects I have observed in a few cases. The first was a case of spina-bifida, which I saw and examined in consultation in 1869. It was in a child less than a year old, and was in the lower part of the lumbar region. This consultation was with a view of determining what—if anything—could be done for its cure. It was decided to attempt draining off, slowly and gradually, some of the fluid that had accumulated in the sac, at the same time making pressure over the tumor in order to equalize the pressure

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