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Passive vascular exercises and the conservative management of obliterative arterial diseases of the extremities
NEWSERVES VOL.XxX111,No. z
Book
Reviews
anterior, (2) the middle, (3) the posterior third of the superior Iongitudinal sinus, and (4) those arising from the falx. He suppIements this with a chapter which orients the reader as to the pIace usuaIIy occupied by meningiomas among brain tumors, and another on the variabIe histopathoIogic appearances of these neopIasms. AI1 the case histories are presented, some in considerabIe detai1. Then foIIows a chapter on symptomatoIogy incIuding the characteristic roentgen ray evidence of these tumors. In another chapter devoted to diagnosis he attempts to estabIish a more or Iess characteristic syndrome for each of the four groups aIready mentioned. Thus the salient cIinica1 features of the meningiomas arising from the anterior third of the IongitudinaI sinus are: (I) a Iong history usualIy initiated with headache, (2) psychotic manifestations, (3) a sIight central facia1 weakness and (4) biIatera1 papiIIedema and often a homoIatera1 hyposmia or an anosmia. The meningiomas of the middIe third of the IongitudinaI sinus give a very typica syndrome : (I) A Iong history of sIowIy progressive cortica1 monoparesis of the Iower, but seIdom the upper extremity, often punctuated by Jacksonian seizures. Sensory disturbances are frequent but seldom marked. (2) Signs of genera1 pressure are seldom present except at a Iate stage. Bone changes in the skuI1 occur in about haIf the cases, but even without them the diagnosis is reIativeIy easy. The meningiomas arising from the posterior third of the Iongitudinal sinus present: (I) A Iong history usually of headache but often of a subjective homonymous visua1 fieId defect, and, if Ieft-sided, of sensory aphasia; (2) homonymous hemianopia of varying degree but usuaIIy showing a sparing of the macuIa; (3) marked sensory disturbances, especiaIIy if the tumor is located in the anterior part of the posterior group; (4) sensory aphasia with alexia and agraphia in left-sided lesions. Tumors arising from the faIx may give simiIar symptoms to those resulting from sinus tumors in the corresponding third of the sinus except that the hyperostosis is usuaIIy absent. At times, however, the symptoms are quite atypica1 and VentricuIography or arteriography becomes quite indispensibIe. The last chapter is devoted to the surgical t.echnique in dealing with these tumors. Some
American Journal of
Surgery
339
of the specia1 points in the author’s technique are worthy of mention. He prefers to make his bone ffap across the midIine instead of biting away the bone on the other side secondariIy. He advocates cutting the dura a11 around the tumor, especiaIIy the portion between the tumor and sinus, since he feeIs that in this way Iess bIood is Iost than when that portion of dura is left to be cut later. Concerning the resection of the IongitudinaI sinus, he beIieves this is to be avoided even in the anterior portion whenever possible, unIess the sinus is aIready obIiterated by invasion of the tumor. He thinks it inconsequentia1 whether the dura1 defect is cIosed or not. He considers drainage through a separate puncture hoIe in the scaIp both safe and desirable. With improved hemostatic technique and muItipIe transfusions the operation can, as a ruIe, be compIeted in a singIe stage. WhiIe the detaiIs in this book are too numerous to be summarized, it is obvious from what has been given that the author is an experienced neurosurgeon who shares his vaIuabIe experiences freeIy with his readers. PASSIVE VASCULAR EXERCISES AND THE CONSERVATIVE MANAGEMENT OF OBLITERATIVE ARTERIAL DISEASES OF THE EXTREMITIES. By Louis G. Herrmann, M.D. With a Foreword by Mont R. Reid, M.D. IIlustrated with 80 engravings and 4 coIored pIates. PhiIa., J. B. Lippincott Company, 1936. The purpose of Dr. Herrmann’s book is best described by quoting from a passage on a fly-Ieaf: “The gradual rise and faI1, in cycIic sequence, of air-pressure about the human extremities with the pressure predominantIy in the phase below the existing atmospheric pressure constitutes the physica basis for PASSIVE VASCULAR EXERCISES. CIinicaIIy and experimentaIIy this type of alternation of the environmental air-pressure has been shown to constitute an efficient and truIy physioIogica1 means of promoting the estabIishment of an adequate coIIatera1 arteria1 circuIation in human extremities after the major or secondary arteries have been obIiterated by trauma or by some disease.” The first chapter is devoted to an introduction, and this is folIowed by the Historica Development of KnowIedge Concerning PhysioIogic Effects of Changes in Environmenta
340
American Journal of Surgery
Book Reviews
Air-pressure Upon PeripheraI ArteriaI CircuIation. Some of the other chapters deaI with, The PhysioIogy of the PeripheraI Distribution of BIood, PhysioIogic Effects of Rhythmic AIternation of Environmenta Air-pressure, PhysioIogic Effects of Changes in Environmenta Temperature, The CoIIateraI ArteriaI CircuIation in Human Extremities, The Genera1 Management of PeripheraI VascuIar Disease, The Passive VascuIar Exercise Method of Therapy, and CIinicaI Experiences with Passive VascuIar Exercise Therapy. The Iast chapter is devoted to Routine for Study and Care of Patients with Organic ArteriaI Disease. There is a part aIIoted to References; aIso, an Index. Physicians who come in contact and treat. arteria1 diseases of the extremities wiI1 do we11 to study this book.
THE PRACTITIONERS LIBRARYOF MEDICINE AND SURGERY.VoIume X. DermatoIogy and SyphiIoIogy. New York, D. AppIeton-Century Company, 1936. This voIume of 1043 pages is the tenth of a series pubIished by AppIeton-Century Company, each voIume written by the outstanding speciaIists in their fieId. The supervising editor, George BIumer, M.D.,of YaIe, and C. Guy Lane, M.D., of Harvard, the associate editor, have done a spIendid piece of work. It is unnecessary to Iist the topics discussed but when one considers that such men as S. WiIIiam Becker, HaroId N. CoIe, Joseph Jordon EIIer, CIark W. Finnerud, Harry R. Foerster, Joseph V. KIauder, C. Guy Lane, Joseph EarIe Moore, PauI A. O’Leary, CharIes Robert Rein, Laurence R. Taussig, Eugene F. Traub, and Frederick D. Weidman are the contributors, it goes without saying the text is up to date and authoritative. The subjects are thoroughiy covered. The iIIustrations are ampIe and are a definite aid to the text. For those interested the BibIiography references are Iisted at the end of chapters. The Index is thorough.
STUDIESONTHEHEALINGOF FRACTURES WITH SPECIAL REFERENCE TO THE SICNIFICANCE OF THE VITAMIN CONTENTOF THE DIET. By John Hertz, M.D. Copenhagen, Levin & Munskgaard; London, Humphrey MiIford (Oxford University Press), 1936.
AUGUST. rgj6
The practitioner of medicine who, to any degree, is interested in the fracture probIem wiI1 find this work instructive and authoritative, as we11 as interesting reading. It is one of those short books that are a joy and which appear onIy too seIdom. There are onIy 280 pages and 81 figures, many in color. Over the figures done in bIack and white are attached transparent sheets upon which are done Iine outIines upon which are the necessary numbers and Ietters by which the Iegends are made cIear. AI1 in aI1, it. is beautifuIIy done, and aIthough issued in paper covers, the pubIishers are to be commended for both pubIishing the book and for the exceIIent way they have brought it out.. Part I has chapters on the Historica Survey, The Fracture Forceps, and the Hansen-Haggqvist SyncytiaI Theory. Part 2 deaIs with ten chapters on the Author’s Investigations. These chapters, in part, cover Technique, HeaIing of Fractures in Norma1 Guinea-Pigs, in Scorbutic Guinea-Pigs . . . IsraeI and FrankeI’s Refracture Experiments, HeaIing of Fractures in Normal Rats, and Rats on a Vitamin B-Deficient Diet, on a Vitamin A-Free Diet, HeaIing of Fractures in Rachitic Rats and in Rats on a Vitamin A and D-Free Diet, and in Rats Treated with Toxic Doses of Vitamin D. A chapter is devoted to Conclusions. There is an ampIe BibIiography. SURGICAL EMERGENCIES IN CHILDREN. By Harold CIifford Edwards, M.s., London. BaItimore, WiIIiam Wood and Company, ‘936. This smaI1 book may we11be seriousIy read by many surgeons as emergency surgery in chiIdren is a fieId in itseIf.‘For the most part it has been a more or Iess negIected subdivision of surgery, therefore, Dr. Edwards’ book is timely. The author considers Genera1 PrincipIes, Pyogenic Infections, Fractures, Injuries to MuscIes and Tendons, Acute Infections of Bones and Joints, Head Injuries, Acute Disorders in the Abdomen, Injuries to the Abdomen, InAammatory Conditions in the Abdomen, Acute IntestinaI Obstruction, CongenitaI MaIformations of the IntestinaI Tract, incIuding Meckel’s DiverticuIum, The Thorax, The Urinary and Genital Tracts, and The Ear, Nose and Throat (this chapter by Geoffrey H. Mateman, F.R.c.s.). The book of 274 pages is we11 indexed and iIIustrated. It is recommended.
Book
Reviews
anterior, (2) the middle, (3) the posterior third of the superior Iongitudinal sinus, and (4) those arising from the falx. He suppIements this with a chapter which orients the reader as to the pIace usuaIIy occupied by meningiomas among brain tumors, and another on the variabIe histopathoIogic appearances of these neopIasms. AI1 the case histories are presented, some in considerabIe detai1. Then foIIows a chapter on symptomatoIogy incIuding the characteristic roentgen ray evidence of these tumors. In another chapter devoted to diagnosis he attempts to estabIish a more or Iess characteristic syndrome for each of the four groups aIready mentioned. Thus the salient cIinica1 features of the meningiomas arising from the anterior third of the IongitudinaI sinus are: (I) a Iong history usualIy initiated with headache, (2) psychotic manifestations, (3) a sIight central facia1 weakness and (4) biIatera1 papiIIedema and often a homoIatera1 hyposmia or an anosmia. The meningiomas of the middIe third of the IongitudinaI sinus give a very typica syndrome : (I) A Iong history of sIowIy progressive cortica1 monoparesis of the Iower, but seIdom the upper extremity, often punctuated by Jacksonian seizures. Sensory disturbances are frequent but seldom marked. (2) Signs of genera1 pressure are seldom present except at a Iate stage. Bone changes in the skuI1 occur in about haIf the cases, but even without them the diagnosis is reIativeIy easy. The meningiomas arising from the posterior third of the Iongitudinal sinus present: (I) A Iong history usually of headache but often of a subjective homonymous visua1 fieId defect, and, if Ieft-sided, of sensory aphasia; (2) homonymous hemianopia of varying degree but usuaIIy showing a sparing of the macuIa; (3) marked sensory disturbances, especiaIIy if the tumor is located in the anterior part of the posterior group; (4) sensory aphasia with alexia and agraphia in left-sided lesions. Tumors arising from the faIx may give simiIar symptoms to those resulting from sinus tumors in the corresponding third of the sinus except that the hyperostosis is usuaIIy absent. At times, however, the symptoms are quite atypica1 and VentricuIography or arteriography becomes quite indispensibIe. The last chapter is devoted to the surgical t.echnique in dealing with these tumors. Some
American Journal of
Surgery
339
of the specia1 points in the author’s technique are worthy of mention. He prefers to make his bone ffap across the midIine instead of biting away the bone on the other side secondariIy. He advocates cutting the dura a11 around the tumor, especiaIIy the portion between the tumor and sinus, since he feeIs that in this way Iess bIood is Iost than when that portion of dura is left to be cut later. Concerning the resection of the IongitudinaI sinus, he beIieves this is to be avoided even in the anterior portion whenever possible, unIess the sinus is aIready obIiterated by invasion of the tumor. He thinks it inconsequentia1 whether the dura1 defect is cIosed or not. He considers drainage through a separate puncture hoIe in the scaIp both safe and desirable. With improved hemostatic technique and muItipIe transfusions the operation can, as a ruIe, be compIeted in a singIe stage. WhiIe the detaiIs in this book are too numerous to be summarized, it is obvious from what has been given that the author is an experienced neurosurgeon who shares his vaIuabIe experiences freeIy with his readers. PASSIVE VASCULAR EXERCISES AND THE CONSERVATIVE MANAGEMENT OF OBLITERATIVE ARTERIAL DISEASES OF THE EXTREMITIES. By Louis G. Herrmann, M.D. With a Foreword by Mont R. Reid, M.D. IIlustrated with 80 engravings and 4 coIored pIates. PhiIa., J. B. Lippincott Company, 1936. The purpose of Dr. Herrmann’s book is best described by quoting from a passage on a fly-Ieaf: “The gradual rise and faI1, in cycIic sequence, of air-pressure about the human extremities with the pressure predominantIy in the phase below the existing atmospheric pressure constitutes the physica basis for PASSIVE VASCULAR EXERCISES. CIinicaIIy and experimentaIIy this type of alternation of the environmental air-pressure has been shown to constitute an efficient and truIy physioIogica1 means of promoting the estabIishment of an adequate coIIatera1 arteria1 circuIation in human extremities after the major or secondary arteries have been obIiterated by trauma or by some disease.” The first chapter is devoted to an introduction, and this is folIowed by the Historica Development of KnowIedge Concerning PhysioIogic Effects of Changes in Environmenta
340
American Journal of Surgery
Book Reviews
Air-pressure Upon PeripheraI ArteriaI CircuIation. Some of the other chapters deaI with, The PhysioIogy of the PeripheraI Distribution of BIood, PhysioIogic Effects of Rhythmic AIternation of Environmenta Air-pressure, PhysioIogic Effects of Changes in Environmenta Temperature, The CoIIateraI ArteriaI CircuIation in Human Extremities, The Genera1 Management of PeripheraI VascuIar Disease, The Passive VascuIar Exercise Method of Therapy, and CIinicaI Experiences with Passive VascuIar Exercise Therapy. The Iast chapter is devoted to Routine for Study and Care of Patients with Organic ArteriaI Disease. There is a part aIIoted to References; aIso, an Index. Physicians who come in contact and treat. arteria1 diseases of the extremities wiI1 do we11 to study this book.
THE PRACTITIONERS LIBRARYOF MEDICINE AND SURGERY.VoIume X. DermatoIogy and SyphiIoIogy. New York, D. AppIeton-Century Company, 1936. This voIume of 1043 pages is the tenth of a series pubIished by AppIeton-Century Company, each voIume written by the outstanding speciaIists in their fieId. The supervising editor, George BIumer, M.D.,of YaIe, and C. Guy Lane, M.D., of Harvard, the associate editor, have done a spIendid piece of work. It is unnecessary to Iist the topics discussed but when one considers that such men as S. WiIIiam Becker, HaroId N. CoIe, Joseph Jordon EIIer, CIark W. Finnerud, Harry R. Foerster, Joseph V. KIauder, C. Guy Lane, Joseph EarIe Moore, PauI A. O’Leary, CharIes Robert Rein, Laurence R. Taussig, Eugene F. Traub, and Frederick D. Weidman are the contributors, it goes without saying the text is up to date and authoritative. The subjects are thoroughiy covered. The iIIustrations are ampIe and are a definite aid to the text. For those interested the BibIiography references are Iisted at the end of chapters. The Index is thorough.
STUDIESONTHEHEALINGOF FRACTURES WITH SPECIAL REFERENCE TO THE SICNIFICANCE OF THE VITAMIN CONTENTOF THE DIET. By John Hertz, M.D. Copenhagen, Levin & Munskgaard; London, Humphrey MiIford (Oxford University Press), 1936.
AUGUST. rgj6
The practitioner of medicine who, to any degree, is interested in the fracture probIem wiI1 find this work instructive and authoritative, as we11 as interesting reading. It is one of those short books that are a joy and which appear onIy too seIdom. There are onIy 280 pages and 81 figures, many in color. Over the figures done in bIack and white are attached transparent sheets upon which are done Iine outIines upon which are the necessary numbers and Ietters by which the Iegends are made cIear. AI1 in aI1, it. is beautifuIIy done, and aIthough issued in paper covers, the pubIishers are to be commended for both pubIishing the book and for the exceIIent way they have brought it out.. Part I has chapters on the Historica Survey, The Fracture Forceps, and the Hansen-Haggqvist SyncytiaI Theory. Part 2 deaIs with ten chapters on the Author’s Investigations. These chapters, in part, cover Technique, HeaIing of Fractures in Norma1 Guinea-Pigs, in Scorbutic Guinea-Pigs . . . IsraeI and FrankeI’s Refracture Experiments, HeaIing of Fractures in Normal Rats, and Rats on a Vitamin B-Deficient Diet, on a Vitamin A-Free Diet, HeaIing of Fractures in Rachitic Rats and in Rats on a Vitamin A and D-Free Diet, and in Rats Treated with Toxic Doses of Vitamin D. A chapter is devoted to Conclusions. There is an ampIe BibIiography. SURGICAL EMERGENCIES IN CHILDREN. By Harold CIifford Edwards, M.s., London. BaItimore, WiIIiam Wood and Company, ‘936. This smaI1 book may we11be seriousIy read by many surgeons as emergency surgery in chiIdren is a fieId in itseIf.‘For the most part it has been a more or Iess negIected subdivision of surgery, therefore, Dr. Edwards’ book is timely. The author considers Genera1 PrincipIes, Pyogenic Infections, Fractures, Injuries to MuscIes and Tendons, Acute Infections of Bones and Joints, Head Injuries, Acute Disorders in the Abdomen, Injuries to the Abdomen, InAammatory Conditions in the Abdomen, Acute IntestinaI Obstruction, CongenitaI MaIformations of the IntestinaI Tract, incIuding Meckel’s DiverticuIum, The Thorax, The Urinary and Genital Tracts, and The Ear, Nose and Throat (this chapter by Geoffrey H. Mateman, F.R.c.s.). The book of 274 pages is we11 indexed and iIIustrated. It is recommended.