. Medical and surgical therapy . Fig. 5.—The skull has been driven in by a piece of shell of low velocity,and resembles the large injuries of civil practice. It is not uncommonto have to treat such fractures after the wrecking of shelters orexplosions of Fig. 6.—In this case the skull and brain had been ploughed up by ashell-fragment for a long distance and to a great depth. There wasblindness due to lesion of both occipital lobes. He finally diedof meningo-encephalitis. G/mERAL CONSIDERATIONS 773 2. Wounds in which the missile has penetrated theskull and passed out again almost immedi
. Medical and surgical therapy . Fig. 5.—The skull has been driven in by a piece of shell of low velocity,and resembles the large injuries of civil practice. It is not uncommonto have to treat such fractures after the wrecking of shelters orexplosions of Fig. 6.—In this case the skull and brain had been ploughed up by ashell-fragment for a long distance and to a great depth. There wasblindness due to lesion of both occipital lobes. He finally diedof meningo-encephalitis. G/mERAL CONSIDERATIONS 773 2. Wounds in which the missile has penetrated theskull and passed out again almost immediately, de-scribing an arc of a small circle. In these wounds thebrain and the dura mater are necessarily injured overa fairly large surface, but the cerebral lesions arenot very deep, and the detached fragments of boneare never driven very far into the interior of thebrain. 3. Non-penetrating wounds.—In these cases bothtables of the skull are broken, and the fragments ofthe internal table are often driven very deep into thebrain not far from the ventricle, which, even if itis not opened at once, may be injured in thecourse of the operation. These cases are particularlyserious. 4. Penetrating wounds.—This type is identical withthe previous one, exce
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1918
