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July 1952


AMA Arch Surg. 1952;65(1):150-160. doi:10.1001/archsurg.1952.01260020162015

AMONG the large variety of defects of the craniovertebral axis and the central nervous system in infants, many, obviously, because of their very nature could not be improved by any means. Most of the types of craniostenoses are accompanied by primary cerebral developmental defects; porencephaly is a nonreversible situation; the Mongolian infant with its less specific gross neural changes is amenable to no form of medical or surgical care. The dysplasias producing the various spasticities, dystonias, and ataxic states may be aided by specific training measures for the growing child but not by any surgical means applied directly to the nervous system. Additional examples of defects of a nonsurgical nature are commonly recognized.1

It is important, however, not to consign all infants with neurologic defects to the category of the hopeless. Specifically, conditions such as hydrocephalus, meningocele (cranial or vertebral), intracranial hematoma or hydroma following birth, and certain neoplasms,