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ARTICLE |

THE INFLUENCE OF DECOMPRESSION OPERATIONS ON EXPERIMENTALLY PRODUCED PAPILLEDEMA

LOYAL DAVIS, M.D., Ph.D.
Arch Surg. 1926;12(5):1004-1030. doi:10.1001/archsurg.1926.01130050058003.
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Innumerable opportunities have been afforded clinicians to study the partial or total subsidence of papilledema produced by intracranial new growths after a subtemporal decompression had been performed. These observations have clinched the argument in favor of the mechanical theory of the production of choked disks. This operative procedure, first described by Cushing,1 has had a definite influence on the surgery of intracranial tumors. The pendulum has swung from the improper and injudicious performance of a subtemporal decompression in every case of increased intracranial tension to the dogmatic statement that it should never be performed. The good results, as far as the subsidence of papilledema is concerned, are championed by all neurologic surgeons. On the other hand, Sachs2 has stated that he has rarely seen any demonstrable benefit to the patient following a subtemporal decompression. Certain it is that this comparatively simple procedure has been done less frequently as

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