A reference handbook of the medical sciences, embracing the entire range of scientific and practical medicine and allied science . emedy in large doses, about 100 to 150grains a day. The operative procedure in abscess of the braindiffers in no essential particular from that of tre-phining in general. It is usually wise to make alarge bone flap over the suspected area; then, by aspecial needle, protected at the end to preventinjury to the brain, exploration is made in differentdirections. A special instrument of this kind hasbeen devised by Murphy, so that by turning it slightlythe point of the
A reference handbook of the medical sciences, embracing the entire range of scientific and practical medicine and allied science . emedy in large doses, about 100 to 150grains a day. The operative procedure in abscess of the braindiffers in no essential particular from that of tre-phining in general. It is usually wise to make alarge bone flap over the suspected area; then, by aspecial needle, protected at the end to preventinjury to the brain, exploration is made in differentdirections. A special instrument of this kind hasbeen devised by Murphy, so that by turning it slightlythe point of the needle is opened, wliile by reversingthe movement the opening is closed. Care shouldbe taken here, as in the abdominal cavity, to preventa spreading infection of the meninges. 418 In infected thrombosis of the the openingshould be sufficiently large to permit one to clamp ortie the sinus on each side of the thrombus, beforeopening it. These cases are extremely serious andrequire radical work to be effective. In theseinfections urotropin has been highly is usually gixen in large doses by mouth, but in. Fig. 105.).- .Subtentorial Osteoplastic Ilap Lxpo-siug theCerebellum. others it Ls injected into the spinal fluid through theordinary spinal puncture. The latter procedure iswell worthy of an extended trial, as anything whichwill prove effective in cases will be a great boon,since they are nearly all fatal. There have been manysuggestions whereby irrigation of the meninges maybe attempted in these acute infections, but in ouropinion none of them have met with any can be no condition more serious or hopelessthan an acute spreading infection of the membranes. Tumors.—In view of the opinions expressed underdecompression, we believe the operative work inthis field should be largely limited to the operation ofdecompression. Radical extirpation may offer somehope, where accurate localization is possible, incases of frontal tumors, tho
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Keywords: ., bookauthorbuckalbe, bookcentury1900, bookdecade1910, bookyear1913
