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Article
April 1929

TREATMENT OF HYDROCEPHALUS: HISTORICAL REVIEW AND DESCRIPTION OF A NEW METHOD

Author Affiliations

From the Laboratory of Neuropathology of the New York State Psychiatric Institute.

Arch Surg. 1929;18(4):1737-1762. doi:10.1001/archsurg.1929.01140130837055
Abstract

Many fundamental questions concerning the cerebrospinal fluid, as, for example, whether it is wholly or only partially produced by filtration through the choroid plexus, remain unsolved. But the discoveries of modern workers, from Magendie through Cushing and his pupils, concerning the nature, origin, outlet and functions of the "third circulation," leave one free to enter on a discussion of the therapy in diseases affecting it, without first having to consider these other aspects.

In many papers on the treatment of hydrocephalus, the confidence of the authors in their own methods leads them to pass briefly over the efforts of others in the same direction. The present writer, from the beginning, must confess to a feeling of trepidation at offering still another method, and will at least review in some detail the multitudinous schemes presented—especially during the past forty years—for the cure of this distressing condition. Each one has its own

References
1.
Since writing this paper, I have had occasion to test this treatment in three cases of hydrocephalus, with promising results.
2.
Davis and Traut recommend the following mixture: Alcohol, 95 per cent, 55 cc.; acetone, 10 cc.; mercurochrome, 2 Gm.; distilled water, 35 cc.
3.
Andrews, E. W.:  An Improved Technique in Brain Surgery; Glass Tubes Versus Gold or Platinum for Subdural Drainage of the Lateral Ventricles in Internal Hydrocephalus ,  Tr. Am. Surg. A. 29:111, 1911.
4.
Anton and von Bramann:  Balkenstich bei Hydrozephalien, Tumoren und bei Epilepsie ,  München. med. Wchnschr. 55:1673, 1908.
5.
Bennett, J. R.:  The Causes, Nature, Diagnosis and Treatment of Acute Hydrocephalus, or Water in the Head , London, Samuel Highley, 1843, p. 248.
6.
Bessau:  Ueber akuten Hydrozephalus ,  Deutsche med. Wchnschr. 3:1279, 1926.
7.
Boerhaave: Historia apoplecticorum, cited by Whytt, reference 95.
8.
Von Bokay, J.:  Ueber die chirurgische Behandlung des chronischen und angeborenen Hydrocephalus internus des Kindesalters ,  Wien. med. Wchnschr. 60: 1506, 1910.
9.
Bongiannini, G.:  Contributo clinico alla cura dell' idrocefalia interna cronica congenita ,  Pediatria (series 2) 8:369, 1910.
10.
Brainard, 1825, cited by Terrier, reference 91.
11.
Von Bramann:  Die Behandlung des Hydrocephalus durch Balkenstich ,  Deutsche med. Wchnschr. 35:1592 and 1645, 1909.
12.
Broca, A.:  Drainage des ventricules cérébraux pour hydrocéphalie ,  Rev. de chir. 11:37, 1891.
13.
Bruce, A., and Stiles, H. J.:  Drainage Through the Fourth Ventricle in a Case of Acquired Hydrocephalus Due to Chronic, Non-Tubercular Basal Meningitis ,  Scot. M. & S. J. 2:215, 1898.
14.
Cassel:  Zwei Fälle von chronischen Hydrozephalus bei Kindern ,  Deutsche med. Wchnschr. 48:655, 1922.
15.
Chisolm, Robert:  Hydrocephalus Internus or Internal Dropsy of the Brain , Philadelphia, Ormrod and Conrad, 1796.
16.
Conto, M.:  Ueber einen Fall von Hydrocephalus ,  Neurol. Centralbl. 32:20, 1913.
17.
Cushing, H.:  The Special Field of Neurological Surgery ,  Cleveland M. J. 4:1, 1905.
18.
Cushing, H.:  The Cerebral Envelopes , in  Keen: Surgery , Philadelphia, W. B. Saunders Company, 1908, vol. 3, p. 111.
19.
Cushing, H.:  Studies in Intracranial Physiology and Surgery (lecture I, third circulation) London, Humphrey Milford, 1926.
20.
Dandy, W. E.:  Experimental Hydrocephalus ,  Ann. Surg. 70:129, 1919.
21.
Dandy, W. E.:  The Diagnosis and Treatment of Hydrocephalus Resulting from Strictures of the Aqueduct of Sylvius ,  Surg. Gynec. Obst. 31:340, 1920.
22.
Dandy, W. E.:  The Diagnosis and Treatment of Hydrocephalus Due to Occlusions of the Foramina of Magendie and Luschka ,  Surg. Gynec. Obst. 32: 112, 1921.
23.
Dandy, W. E.:  An Operative Procedure for Hydrocephalus ,  Bull. Johns Hopkins Hosp. 33:189, 1922.
24.
Dandy, W. E., and Blackfan, K. D.:  Internal Hydrocephalus: An Experimental, Clinical and Pathological Study ,  Am. J. Dis. Child. 8:406 ( (Dec.) ) 1914.
25.
Davis, J. S., and Traut, H. F.:  The Production of Epithelial Lined Tubes and Sacs ,  J. A. M. A. 86:339 ( (Jan. 30) ) 1926.
26.
Dehler, A.:  Beitrag zur operativen Behandlung des Hydrocephalus chronicus ventriculorum ,  ref., Centralbl. f. Chir. 27:192, 1900.
27.
Denk, W.:  Zur Chirurgie des Liquorsystems ,  Wien. klin. Wchnschr. 40: 1309 and 1357, 1927.
28.
Drachter:  Ueber neue operative Wege zur Druckentlastung bei angeborenen Hydrocephalus (Ureter-Duraanastomose) ,  Zentralbl. f. Chir. 52:2776, 1925.
29.
Elsberg, C. A.:  Chronic Internal Hydrocephalus: The Newer Methods for Its Recognition and Treatment ,  M. Rec. 92:874, 1917.
30.
Enderlen:  Zur Behandlung des Hydrocephalus ,  Beitr. z. klin. Chir. 76:888, 1911.
31.
Fowler, R. S.:  The Surgical Treatment of Internal Hydrocephalus ,  Ann. Surg. 49:374, 1909.Crossref
32.
Fowler, R. S.: Personal communication.
33.
Fraser, J., and Dott, N.:  Hydrocephalus ,  Brit. J. Surg. 10:165, 1922-1923.Crossref
34.
Frazier, C. H.:  Types of Hydrocephalus, Their Differentiation and Treatment ,  Am. J. Dis. Child. 11:95 ( (Feb.) ) 1916.
35.
Fromowicz, W.:  Therapeutischer Erfolg systematischer Lumbalpunktionen ,  Mitt. d. Gesellsch. f. inn. Med. u. Kinderh. in Wien. 11:272, 1912.
36.
Fuller, C. K.:  Some Observations on Chronic Hydrocephalus with Report of a Case Apparently Arrested ,  Canad. M. A. J. 17:675, 1927.
37.
Glynn, and Thomas, J.:  Case of Hydrocephalus; Trephining; Opening of Fourth Ventricle; Recovery ,  Lancet 2:1106, 1895.Crossref
38.
Gray, J. P.:  Administration of Thyroid Gland in Hydrocephalus ,  Lancet 2:177, 1922.Crossref
39.
Haynes, I. S.:  Congenital Internal Hydrocephalus; Its Treatment by Drainage of the Cisterna Magna into the Cranial Sinuses ,  Ann. Surg. 57:449, 1913.Crossref
40.
Haynes, I. S.:  Hydrocephalus; Later Experiences in Its Treatment by Cisterna Drainage ,  M. Rec. 87:751, 1915.
41.
Haynes, I. S.:  Further Experiences in the Treatment of Hydrocephalus by Cisterna Sinus Drainage (Author's Operation) ,  N. Y. State J. M. 16:174, 1916.
42.
Heile, B.:  Zur Behandlung des Hydrocephalus ,  Deutsche med. Wchnschr. 24:1468, 1908.
43.
Heile, B.:  Zur chirurgischen Behandlung der Spina bifida mit Hydrocephalus ,  Berlin klin. Wchnschr. 47.2:2298, 1910.
44.
Heile, B.:  Zur chirurgischen Behandlung des Hydrocephalus internus durch Ableitung der Cerebrospinalflüssigkeit nach der Bauchhöle und nach der Pleurakuppe ,  Arch. f. klin. Chir. 105:501, 1914.
45.
Heile, B.:  Ueber neue operative Wege zur Druckentlastung bei angeborenen Hydrocephalus (Ureter-Duraanastomose) ,  Zentralbl. f. Chir. 52:2229, 1925.
46.
Heile, B.:  Zur Behandlung des Hydrocephalus mit Uretero-Duraanastomose ,  Zentralbl. f. Chir. 54:1859, 1927.
47.
Henle, A.:  Beitrag zur Pathologie und Therapie des Hydrocephalus ,  Mitt. a. d. Grenzgeb. d. Med. u. Chir. 1:264, 1896.
48.
Hieronymus Mercurialis: Opuscula aurea, liber de morbe puerorum, cited by Whytt, reference 95.
49.
Hildebrand, O.:  Eine neue Operations-Methode zur Behandlung des Hydrocephalus internus chronicus der Kinder ,  Arch. f. klin. Chir. 127:178, 1923.
50.
Horsley, J. S.:  Surgical Treatment of Congenital Hydrocephalus: Report of a Case of Meningocele and Hydrocephalus ,  J. A. M. A. 47:20 ( (July 7) ) 1906.Crossref
51.
Howe, H. S.:  Acute Hydrocephalus ,  Neurol. Bull. 2:247, 1919.
52.
Hudson, W. H.:  Subtemporal Muscle Drainage by the Aid of Silver Wire Drainage Mats in Cases of Congenital Hydrocephalus ,  Ann. Surg. 57:338, 1913.Crossref
53.
Kästner, H.:  Erfahrung mit dem Balkenstich in der Leipziger Klinik ,  Arch. f. klin. Chir. 121:512, 1922.
54.
Kausch, W.:  Die Behandlung des Hydrocephalus der kleinen Kinder ,  Arch. f. klin. Chir. 87:709, 1908.
55.
Keen, W. W.:  Surgery of the Lateral Ventricles ,  Verhandl. d. X. internat. med. Kongr. iii, Chirurgie, Berlin , 1891, p. 108.
56.
Koljubakin, S. L.:  Die operative Therapie der Hirnwassersucht ,  Arch. f. klin. Chir. 128:151, 1924.
57.
Kosyrew, A.:  Drainage der Hirnventrikel durch Netzstreifen ,  Arch. f. klin. Chir. 141:691, 1926.
58.
Krause, F.:  Subcutane Dauerdrainage der Hirnventrikel beim Hydrocephalus ,  Verhandl. d. Berlin med. Gesellsch. 39:213, 1908-1909.
59.
Lambert, A. V. S.:  Studies in the Establishment of Permanent Drainage in Cases of Hydrocephalus ,  J. Nerv. & Ment. Dis. 43:557, 1916.
60.
Läwen, A.:  Ueber Operationen an den Plexus choroidei der Seitenventrikel und über offene Fensterung des Balkens bei Hydrocephalus internus ,  Beitr. z. klin. Chir. 125:1, 1922.
61.
Le Catt and Remet: Philos. Tr. for 1751; cited by Chisolm, reference 13.
62.
Litchfield, H. R., and Dembo, L. H.:  Observations on Clinical and Therapeutic Aspects of Chronic Internal Hydrocephalus ,  J. A. M. A. 78:711 ( (March 11) ) 1922.
63.
Marriott, W. McKim:  The Use of Theobromin Sodiosalicylate in the Treatment of Hydrocephalus ,  Am. J. Dis. Child. 28:479 ( (Oct.) ) 1924.
64.
McClure, R. D.:  Hydrocephalus Treated by Drainage into a Vein in the Neck ,  Bull. Johns Hopkins Hosp. 20:110, 1909.
65.
Meztrezat, W., and van Caulaert:  Présence d'hypophysine dans le liquide céphalorachidien, etc. ,  Arch. internat. de physiol. 28:1, 1927.
66.
Mitchell, A. G., and Zeligs, Mendel:  Amount of Cerebrospinal Fluid in Hydrocephalus; Method for Estimation and Its Clinical Application ,  Am. J. Dis. Child. 30:189 ( (Aug.) ) 1925.
67.
Monro, Alexander, cited by Chisolm, reference 13.
68.
Nicoll, J. H.:  Case of Hydrocephalus in Which Peritoneo-Meningeal Drainage Has Been Carried Out ,  Glasgow M. J. 63:187, 1905.
69.
Park, Roswell:  The Nature and Operative Treatment of Hydrocephalus ,  Med. News 70:432, 1897.
70.
Parkin, Alfred:  The Relief of Intracranial Pressure by the Withdrawal of Cerebrospinal Fluid from the Basal Subarachnoid Space ,  Lancet 2:21, 1893.
71.
Parkin, Alfred:  The Treatment of Chronic Hydrocephalus by Basal Drainage ,  Lancet 2:1244, 1893.
72.
Parkin, Alfred:  Cases of Basal (Subarachnoid) Drainage; Remarks ,  Lancet 2:1166, 1895.
73.
Payr, E.:  Drainage der Hirnventrikel mittelst frei transplantirter Blutgefässe; Bemerkungen ueber Hydrocephalus ,  Arch. f. klin. Chir. 87:801, 1908.
74.
Payr, E.:  Ueber Ventrikeldrainage bei Hydrocephalus ,  Verhandl. d. deutsch. Gesellsch. f. Chir. 40:515, 1911.
75.
Perthes:  Glückliche Entfernung eines Tumors des Plexus choroideus aus dem Seitenventrikel des Cerebrum ,  München. med. Wchnschr. 66:677, 1919.
76.
Polya, E.:  Heilung einer durch traumatisch-porencephalischen Hydrocephalus bedingten Epilepsie nach Resektion des Plexus choroideus ,  Centralbl. f. Chir. 52:2404, 1925.
77.
Pott, R.:  Ein Beitrag zur operativen Behandlung des Hydrocephalus chronicus ,  Jahrb. f. Kinderh. 31:34, 1890.
78.
Pott, R.:  Ueber die Entstehung und Behandlung des chronischen Hydrocephalus ,  Verhandl. d. Gesellsch. f. Kinderh. 12:123, 1895.
79.
Power, d'Arcy:  The Results of a Year's Experience in the Surgical Treatment of Hydrocephalus in Children ,  Internat. Clin. 3:254, 1893.
80.
Pussep, L.:  Operative Behandlung des Hydrocephalus internus bei Kindern ,  Arch. f. Kinderh. 59:172, 1912.
81.
Quincke, H.:  Ueber Hydrocephalus ,  Verhandl. d. Kong. f. inn. Med. 10: 321, 1891.
82.
Schramm, H.:  Beitrag zur Behandlung des chronischen Hydrocephalus mittelst intrakranieller Drainage ,  Klin. therap. Wchnschr. 6:98, 1899.
83.
Senn, Nicholas:  Subcutaneous Drainage in the Surgical Treatment of Hydrocephalus Internus ,  Alienist & Neurol. 24:317, 1903.
84.
Sgalitzer, M.:  Neue Erkenntnisse auf dem Gebiete der Röntgenstrahleinwirkung bei Hirntumoren ,  Strahlentherapie 22:701, 1926.
85.
Sharpe, W.:  The Operative Treatment of Hydrocephalus: A Preliminary Report on Forty-One Patients ,  Am. J. M. Sc. 153:563, 1917.
86.
Siedamgrotzky:  Beeinflussung der Production des Ventrikelliquor durch Roentgenbestrahlung der Plexus choroidei ,  Arch. f. klin. Chir. 145:122, 1927.
87.
Sokolowski, M., and Irger, J.:  Die Lymphangioplastik des Unterhorns des Seitenventrikels als Behandlungsmethode bei Hydrocephalus internus ,  Zentralbl. f. Chir. 52:2586, 1925.
88.
Somma; cited by R. Pott (1895), reference 76.
89.
Spiegel; cited by Sgalitzer, reference 82.
90.
Stiles, H. J., and Bruce, A.:  Drainage Through the Fourth Ventricle in a Case of Acquired Hydrocephalus Due to Chronic Non-Tubercular Basal Meningitis ,  Scot. M. & S. J. 2:215, 1898.
91.
Sutherland, G. A., and Cheyne, W. W.:  The Treatment of Hydrocephalus by Intracranial Drainage ,  Brit. M. J. 2:1155. 1898.
92.
Taylor, A. S.:  Subdural Autodrainage in Internal Hydrocephalus ,  J. Nerv. & Ment. Dis. 36:422, 1909.
93.
Terrier, F.:  Traitement chirurgical des hydrocephalus aiguës et chroniques ,  Progrès méd. (series 3) 1-2:225, 1895.
94.
Towne, E. B.:  The Value of Ventriculograms in the Localization of Intracranial Lesions ,  Arch. Surg. 5:144 ( (July) ) 1922.
95.
Trinkler, N. P.:  Beitrag zur Frage der Chirurgischen Behandlung der Hydrocephalus ,  Arch. f. Kinderh. 37:266, 1903.
96.
Vesalius, cited by Whytt, reference 95.
97.
Whytt, Robert:  Observations on the Dropsy in the Brain , Edinburgh, J. Balfour, 1768.
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