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Article
September 1923

EXTENSIVE HEMORRHAGIC EXTRAVASATION FROM THE VENOUS SYSTEM OF GALEN, WITH A CLINICAL SYNDROME: A REPORT OF THREE FATAL CASES WITH TWO NECROPSIES

Arch Surg. 1923;7(2):237-257. doi:10.1001/archsurg.1923.01120020003001
Abstract

Improvements in surgery directed toward the relief of traumatic brain lesions, developed since the practice of asepsis, have greatly reduced immediate mortality and have made the subsequent course of the case less prone to complications.

The group first benefited comprised patients with compound fracture of the skull, a condition now so amenable to treatment that very satisfactory results may be expected. Further advance was made when another large group was defined in whom the visible skull injury was not of such great importance, but the presence of signs and symptoms of compression was stressed. The favorable effect of decompression has come to be so well understood that the surgeon is glad when serious cases fall into this group.

There remains a large group of traumatic cases for which the surgeon has nothing to offer and in which the mortality is so great that, in a classification of cerebral lesions, it

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