0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

THE DEVELOPMENT OF THE THERAPEUTIC USE OF FORCED PERIVASCULAR (SPINAL) DRAINAGE

GEORGE M. RETAN, M.D.
JAMA. 1935;105(17):1333-1340. doi:10.1001/jama.1935.02760430023007.
Text Size: A A A
Published online

In 1931 I published an article on the treatment of infections of the central nervous system by forced spinal drainage, describing cases of poliomyelitis, acute encephalitis, septic meningitis and syphilitic meningitis. These cases were treated by spinal drainage coincident with the intravenous injection of hypotonic solution. These were the first cases treated by this method to be described in the medical literature.

The term "forced spinal drainage" has led to some misconception as to the essential factor involved in this treatment. The term suggests that drainage of the spinal fluid is essential. If this were true, the amount of spinal fluid produced in a certain case would have some relation to the therapeutic result. This has not occurred. I have therefore suggested the term, "forced perivascular drainage," to emphasize better one of the chief factors.

THE PHYSIOLOGIC BASIS OF THE TREATMENT  Starling1 in 1909 published his studies on the

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();