SURGICAL TREATMENT OF SPONTANEOUS NONTRAUMATIC HEMATOMAS
- 30 March 1946
- journal article
- research article
- Published by American Medical Association (AMA) in JAMA
- Vol. 130 (13) , 845-850
- https://doi.org/10.1001/jama.1946.02870130019005
Abstract
The symptomatology of massive intracerebral hemorrhage caused by hypertension is well known. The hopeless outcome in this condition following medical treatment prompted Cushing1 in 1903 to report surgical therapy in 2 cases. He stated: "In spite of the unfavorable result following operation in both cases, the temporary amelioration of the severe symptoms is a sufficient justification for future attempts to afford surgical relief to certain carefully selected cases of intracerebral hemorrhage." Since Cushing's article there have been many reports of successful removal of traumatic and spontaneous intracerebral hematomas from the cerebrum and cerebellum. This paper is limited to spontaneous, nontraumatic hematomas of the left temporal lobe, since these lesions produce a clear, easily recognized clinical syndrome and are amenable, because of their location, to successful evacuation by trephine or craniotomy. Russell and Sargent,2 Bagley,3 Penfield,4 Craig and Adson,5 Furlow, Carr and Wattenberg,6 Pilcher7Keywords
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