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[Indications for relief and palliative operations]

R R Unger, W D Siedschlag

    Psychiatrie, Neurologie Und Medizinische Psychologie. Beihefte
    |January 1, 1977
    PubMed
    Summary
    This summary is machine-generated.

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    Torkildsen and Spitz-Holter drainages effectively relieve intracranial pressure, enabling tumor surgery. Palliative use prolonged life and eased symptoms in 50% of patients with inoperable tumors.

    Area of Science:

    • Neurosurgery
    • Oncology
    • Critical Care Medicine

    Context:

    • Patients with severe intracranial pressure or critical conditions often require interventions to manage symptoms and facilitate further treatment.
    • Tumorous processes can lead to increased intracranial pressure and a severely worsened general condition, necessitating surgical or palliative measures.

    Purpose:

    • To evaluate the effectiveness of Torkildsen and Spitz-Holter drainages and osteoclastic trepanation as relieving interventions before tumor operations.
    • To assess the palliative benefits of these procedures in patients with inoperable tumors, focusing on life prolongation and symptom alleviation.

    Summary:

    • Torkildsen and Spitz-Holter drainages were performed on 29 patients with severe intracranial pressure, enabling subsequent tumor operations in 28 cases.

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  • These drainage procedures were also used palliatively in 73 patients with inoperable tumors, resulting in prolonged life and symptom relief in 50% of cases.
  • Osteoclastic trepanation was found to be unsuitable as a palliative measure.

    • Impact:

    • Torkildsen and Spitz-Holter drainages serve as effective relieving interventions, facilitating tumor surgery and offering palliative benefits for inoperable tumors.
    • The study highlights the importance of cerebrospinal fluid (CSF) system pressure release for improving outcomes in neuro-oncology patients.
    • Osteoclastic trepanation is not recommended for palliative care in this context, differentiating its utility from CSF drainage procedures.