James L. Poppen

Exophthalmos: Diagnosis and surgical treatment of intractable cases☆

Abstract A survey of the etiologic factors causing either bilateral or unilateral exophthalmos is given with a discussion of their management and results.

Chromophobe pituitary adenoma. Current concepts of diagnosis and treatment.

Chromophobe pituitary adenomas occasionally attain sufficient size to impinge on the optic nerves or cause enlargement of the sella turcica. Headaches, visual changes, weight gain and loss of sexual drive are the chief complaints. Some disagreement exists as to whether operation should be performed immediately or an initial trial of radiation therapy tried. With high voltage x-ray treatment, however, 80 per cent of patients have improved so that no further treatment has been necessary, while 20 per cent have subsequently required operation.

Intractable Exophthalmos in Thyroid Disease

The incidence of progressive exophthalmos in cases of thyroid disease and the pathologic changes that initiate the condition are discussed. Results of bilateral orbital decompression in 78 cases are reported, and the technic of the procedure is outlined.

Surgical technic for removal of solitary destructive neoplastic lesions of the cranium

Abstract A method is demonstrated that allows complete extirpation en masse of a single solitary, destructive lesion of the skull, including extracranial and intracranial local extensions. This procedure has been carried out in four cases, with excellent technical results.

Resection of Anginal Pathway for Relief of Anginal Pain

WE first became interested in the possibility of relieving anginal pain in patients undergoing splanchnicectomy who had severe hypertension and angina pectoris. After the pioneer work of White,1 wh...

The treatment of intracranial aneurysms.

Intracranial aneurysms are found much more frequently today because of the use of arteriography. Many patients can be saved by surgical intervention, either by the direct intracranial attach or by the indirect method of ligating the internal carotid artery in the neck. The hazards of surgical treatment are discussed.