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Extra resources for Annual Review of Hydrocephalus: Volume 6 1988
Hence, it was used in teaching students and was used by the noted artist , George Lynch, in the accompanying illustration showing the hands of Courtland Davis eliciting the cracked pot sound . (Surg Neurol 27: 519-522, 1987) Key words: Cracked pot sound, Macewen's sign Symptomatology COURTLAND DAYIS Figure. "The cracked pot sound," Macewen 's sign, was originally described by Macewen in his book: Pyogenic infective deseases of the brain and spinal cord in 1893. The method of elicitation of differential cranial percussion as an aid to cerebral diagnosis was practiced by him for years, particularly in children .
Ja JB J6 36 J6 " 32 J2 ,. J4 Je ae 28 28 " 2 .. ' lO NT II S fo B 111 12 14 16 SB 28 22 2 I J .. J0 J. _ _- - ' 2 8 22 2 J .. 5 Ei I YEARS left: Comparison of graphs (Boys) . Dotted line : 1970, solid line: 1980. right: Comparison of graphs (Girls). Dotted line: 1970, solid line: Figure. 1980. 38 Annual Review 01 Hydrocephalus Macewen's Sign: "The cracked pot sound" Eben ALExANDER, JR. and Courtland H . DAVIS Department of Neurosurgery, Wake Forest University , Bowman Gray Schooi of Medicine, Winston-Saiem, North Caroiina, USA "The cracked pot sound," Macewen's sign, was originally described by Macewen in his book, Pyogenic infective diseases of the brain and spinal cord in 1893.
This finding might suggest that the relatively high steady state pressure induced by the infusion of artificial CSF creates a new and higher resting pressure for some time afterwards-a temporary high pressure communicating hydrocephalus . Disturbed CSF hydrodynamics could be one etiological factor of post-SAH-encephalopathy, and in further studies we therefore will concentrate on performing neuropsychological testing on such patients to evaluate any possible connection between low test-scores and abnormal CSF dynamics parameters.