A contribution to brain surgery with special reference to brain tumors / by M. Allen Starr.

  • Starr, M. Allen (Moses Allen), 1854-1932.
Date:
1896
Catalogue details

Licence: Public Domain Mark

Credit: A contribution to brain surgery with special reference to brain tumors / by M. Allen Starr. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

    16/28 (page 14)
    H patients are alive whose tumors were taken out suc- cessfully, four, five, or six years ago, and many other patients are now alive, free from all symptoms, from whose brains tumors have been removed. I cannot but feel that in the future the prognosis in such opera- tions will be more favorable than it is at present, and that we have every reason to go on with this work of removal. As we look over the history of the successful cases it is evident that the most favorable cases for operation are those in which the tumor has been situated in the motor region of the brain, producing first localized spasms and then localized paralysis, or in the speech area of the brain, or in the visual areas of the brain. In all these areas the local diagnosis is easy, acces- sion to the cortex is easy, and removal of the tumor should not present many difficulties in the hands of a skilful surgeon. In the following table will be found a list of the varieties of brain tumor operated upon during the past three years and the result. Table II. Variety of Tumor Removed and Re- sults—1893 to 1896.— Variety. Sarcoma... . Glioma Glio-sarcoma Cystic Tubercular. , Gumma Fibroma . . . , Angioma. . . . Not stated... Recovered. Died. 10 5 3 I 2 O 3 5 3 3 I 2 0 I 1 o 3 4 26 21 It is evident that sarcoma is a tumor most fre- quently removed at the operation, and with the best prognosis. There appears to be little difficulty in re- moving cysts, but subsequent results are less favor- n