Читать книгу The Surgery of the Skull and Brain - Louis Bathe Rawling - Страница 79

The results obtained by operation for internal hydrocephalus are not sufficiently encouraging to enable the surgeon to urge immediate operative treatment.[15] Still, it is perfectly clear that he cannot possibly carry out surgical treatment with benefit to the patient if the ventricular distension is allowed to progress to such a degree that marked cortical flattening and degeneration occurs. No fixed probationary period can be laid down as a guide, each case must be judged on its own merits. Special attention should be paid, however, to the disks and lower extremities. Any suggestion of optic neuritis or spasticity should be regarded as urgently demanding operative interference.