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September 30, 1911


JAMA. 1911;LVII(14):1110-1115. doi:10.1001/jama.1911.04260090332006

I wish to consider briefly a series of thirty-five cases of unfavorable intracranial surgical lesions in which I have operated, comparing the results obtained in the cases of patients operated on early with the results obtained in the cases of those operated on late.

The results have not been flattering, but when we consider the duration and seriousness of the malady, the results are perhaps as satisfactory as those obtained in other surgical conditions that have been as long neglected and injudiciously treated.

Attempts are at once made to arrest hemorrhage, evacuate and drain abscesses, remove or drain cysts and remove tumors when located in accessible locations in all cavities except the cranial. Why should this be the exception when so often the hemorrhage, abscess, cyst or tumor can be so easily, correctly and accurately diagnosed and located, especially when it is located in focal areas, and frequently when no