FORCED DRAINAGE OF THE CEREBROSPINAL FLUID

Abstract
Recently a preliminary report was made on the clinical results of forced drainage of the cerebrospinal fluid in infectious diseases of the central nervous system.1Our purpose in the present communication is dual: first, to bring together and summarize the data on the experimental background of the method, data which are now available only in scattered studies; second, to outline the technic of its clinical application. EXPERIMENTAL BACKGROUND The physiologic laws involved are those which were demonstrated in the fundamental work of Starling2on the production of lymph, experimental work which covered two decades and which he gathered together in his book on "The Fluids of the Body" in 1909. Secondly, of course, this work is a logical extension of the classic studies of Weed and his associates3on the special pressure conditions that obtain in the intracranial cavity. Starling showed that the formation of lymph depended

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