OBSERVATIONS ON CHOKED DISC

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Abstract
During the past four years we have been occupied with some experimental and clinical studies on the relationship between various intracranial processes and choked disc.1 Our clinical experience is the outcome of studies made for the most part in the wards of the Johns Hopkins Hospital on about two hundred cases of brain tumor. In addition to these tumor cases there has been an equally large number of examples of what we regard as choked disc occurring in such diverse conditions as apoplexy, cerebral thrombosis and embolism, hemorrhage at birth, meningitis, hydrocephalus, nephritis, acute operative compression, postoperative edema, and the cerebral edemas which have accompanied cerebral contusion in cases of cranial injury. Unquestionably our experiences of greatest value have been acquired through the consecutive study of the often rapid alterations in the eyegrounds which usually follow the diminution of intracranial tension brought about through decompressive measures. Our experimental investigations,

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