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Every extensive insane asylum in the world contains scores of patients whose minds might have been saved by timely and proper surgical treatment. Nor do I include in this statement those numerous cases which apparently depend upon peripheral irritation; patients who might be greatly benefited, and some perhaps cured, by the removal of irritating scar tissue, hemorrhoids, diseased uterine appendages, etc.; for in the work of such men as Rohè, of Baltimore, we have seen too many instances of improvement after operation, to allow us to longer doubt the assertion that there are some insanities due to, or at least aggravated by, the long-continued irritation of peripheral nerves; even in my own limited field, I have seen mental aberration of very severe degree disappear almost as by magic under repair of lacerations of the cervix, removal of diseased ovaries, and the cure of rectal disease—hence my for closer physical examination
LANPHEAR E. LECTURES ON INTRACRANIAL SURGERY. XI.—THE SURGICAL TREATMENT OF INSANITY. JAMA. 1895;XXIV(22):829–832. doi:10.1001/jama.1895.02430220007002
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