
Selfridge apparently struck the suspension wires and frame of the plane with his head on impact and was unconscious at the scene and groaning. Orville Wright was badly injured, but recovered. Selfridge was found unconscious with a head laceration and rushed to a nearby field hospital at Northern Virginia’ s Fort Myer military base, where the flight demonstration was taking place. Selfridge was the lone passenger in an experimental flight with Orville Wright on Septemwhen the aircraft’s propeller split and the plane crashed. He gained the unfortunate distinction of being both the first to die in a motorized plane crash and the first military airplane fatality.

With this report, we describe the decompressive craniectomy performed on Lieutenant Thomas E. The first person to suffer death from a mechanical flight first endured a neurosurgical attempt to save his life at a field hospital in Northern Virginia. Nirali Patel, MD (Washington, DC) Nirali Patel, MD Kelsi Chesney, MD Joseph Watson, MD During the course of treatment, 45.7% of patients reported treatment-related adverse effects.ġ22: First Flight of Neurosurgery: Report of a Decompressive Craniectomy in 1908 In patients receiving surgical resection followed by radiotherapy and concomitant and adjuvant temozolomide, achievement of GTR was significantly associated with improved PFS (median 32.97 months vs 5.45, p = 0.0092) and OS (median 56.73 months vs 14.83, p = 0.0252).

On multivariable analysis, receipt of temozolomide (HR = 0.02, 95% CI 0.001 to 0.21) and achievement of gross total resection (GTR aHR = 0.13, 95% CI 0.02 to 0.77) were independently prognostic for improved progression-free survival (PFS) while only receipt of temozolomide was independently associated with extended overall survival (OS) (HR = 0.03, 95% CI 0.001 to 0.89). Secondary gliosarcoma was not associated with worse survival when compared to recurrent primary gliosarcoma when landmarked at time of transformation and recurrence, respectively (median survival 9.8 months vs 7.6, p = 0.7493). Seventy-one gliosarcoma patients were identified.
