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August 1970

Cranial and Intracranial Suppuration.

Author Affiliations

USA Washington, DC

Arch Intern Med. 1970;126(2):342. doi:10.1001/archinte.1970.00310080148041

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At this time when general awareness of intracranial infectious processes (particularly brain abscess) seems somewhat blunted, a review of this problem seems appropriate. Unfortunately the present work falls below expectations. The initial general review chapter contains several half-page and full-page isotopic scans and roentgenograms which are of poor quality. These reproductions would appear to add unnecessary publication expense. The area devoted to brain abscess is painfully brief. Essentially no discussion of surgical treatment of brain abscess is included, except for the recommendation that they be primarily excised when possible. This approach is certain to find prominent dissenters in neurosurgical circles.

Also, worthy of discussion is the comment that postcraniectomy wound infections can be cleared without removal of the devitalized bone plate. Previous experiences with this problem would indicate that such is not the case.

The discussion of sinus and ear infections and their propensity to lead to intracranial problems is

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