To the Editor:
—In The Journal, January 28, is published a report by Dr. O. H. Fulcher of the removal of a suboccipital meningocele. Concluding his report, Dr. Fulcher says: "Suboccipital meningocele is a condition that is rare. Usually the treatment has been quite unsatisfactory. This is the first case, to my knowledge, that a suboccipital meningocele has been successfully treated by a one-stage operation."In September, 1928, while in the Iowa University hospital, I operated on a railroad employee from Davenport, Iowa, who was 40 years old and who had a suboccipital meningocele the size of the patient's fist. This was a one stage operation and a cure was accomplished. In 1929, in the same university hospital, I operated on a child, 2 months old, from Sioux City, with an enormous suboccipital meningocele, which was the size of the child's head. The same child also bad a lumbar spina