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SURGICAL TREATMENT OF CONGENITAL HYDROCEPHALUS.REPORT OF A CASE OF MENINGOCELE AND HYDROCEPHALUS.

J. SHELTON HORSLEY, M.D.
JAMA. 1906;XLVII(1):20-25. doi:10.1001/jama.1906.25210010020001g.
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In order to approach the treatment of congenital hydrocephalus more intelligently, it may be well to review, briefly, some of the views of its pathology. Congenital hydrocephalus is a term applied to that affection occurring in infants characterized by an abnormal accumulation of serous fluid within the ventricles of the brain. This tends to increase and usually gives rise to pressure symptoms on the brain, except in those rare cases occasionally seen in which the disease is arrested and the patient recovers without cerebral symptoms. The synonyms are chronic hydrocephalus, internal hydrocephalus, and hydrops ventriculorum cerebri. The so-called external hydrocephalus is quite different both in symptoms and pathology. It denotes an abnormal accumulation of serous fluid in the subarachnoid space1 and is very rare. It is usually secondary to cerebral hemorrhage or pachymeningitis, or else it is found with some congenital defect of the brain. Such an effusion is

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