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EFFECTS OF INTRAVENOUS ADMINISTRATION OF HYPERTONIC SOLUTIONS OF DEXTROSEWITH SPECIAL REFERENCE TO THE CEREBROSPINAL FLUID PRESSURE
JULES H. MASSERMAN, M.D.
J Am Med Assoc. 1934;102(25):2084-2086.
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Following the discovery that the introduction of concentrated solutions of various salts or of dextrose into the blood stream1 or the gastro-intestinal tract2 of an experimental animal causes a diminution in its cerebrospinal fluid pressure, hypertonic solutions have been administered clinically by different routes in attempts to reduce intracranial hypertension in patients suffering from brain trauma,3 brain tumor,4 meningitis5 or brain edema with acute infections.6 However, more recent observations both in animals7 and in a small number of human beings8 have indicated that the initial decrease in the tension of the cerebrospinal fluid induced by these methods is superseded within from one to three hours by a persistent rise in subarachnoid pressure and an exacerbation of the initial symptoms of intracranial hypertension.
The problem, therefore, appeared to require further investigation. It is my purpose in this paper to report a study of
. . . [Full Text PDF of this Article]
Author Affiliations
Resident in Neuropsychiatry, Baltimore City Hospitals BALTIMORE
From the Baltimore Psychopathic Hospital. Thanks are due to Dr. Harry Goldsmith, director of the hospital, for his cooperation in this work.
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