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May 1950


Author Affiliations

From Mercy Hospital, Loyola University Clinics and the Cook County Hospital.

Arch Surg. 1950;60(5):906-943. doi:10.1001/archsurg.1950.01250010929008

THE YOUNG child presents special surgical problems. The surgeons in certain large children's hospitals have developed technics for the management of young children that have reduced mortality and morbidity. This is true in the surgical specialties and especially in neurosurgery. The publications of Bailey, Buchanan and Bucy1 and of Ingraham and his collaborators,2 have added greatly to the knowledge of intracranial neoplasm, chronic subdural hematoma and spina bifida.

This article deals with various neurosurgical lesions that occur in the first two years of life. It is limited to that period because there are many special problems at this age that are not met with later. On the other hand, the surgeon who can successfully handle these tiny patients is well equipped to grapple with the neurosurgical problems of the older child.

A knowledge of the general anatomy and physiology of the young child and the special features of

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