. Some points in the surgery of the brain and its membranes . ed gradually at 8,30. Post-Mortem Examination.—-No tumour was left side of the brain was discoloured with blood,the veins being engorged with blood over the longitudinal sinus was solid with ante-mortem section the left half of the cerebrum was found tobe ploughed up with a large hasmorrhage, which hadspread upwards apparently from the lower and backpart of the hemisphere. There was no blood in theventricle, and the cause of the haemorrhage was not found. Remarks.—This case is a good example of one inwhi
. Some points in the surgery of the brain and its membranes . ed gradually at 8,30. Post-Mortem Examination.—-No tumour was left side of the brain was discoloured with blood,the veins being engorged with blood over the longitudinal sinus was solid with ante-mortem section the left half of the cerebrum was found tobe ploughed up with a large hasmorrhage, which hadspread upwards apparently from the lower and backpart of the hemisphere. There was no blood in theventricle, and the cause of the haemorrhage was not found. Remarks.—This case is a good example of one inwhich a regional diagnosis was impossible. It is wellknown that scurvy in children is not an infrequentcause of haemorrhage, and I am inclined to think thatthe long illness of this child had induced a scorbuticcondition of the blood. OF TUMOUR OF THE BRAIN 263 For the notes of Cases 2, 3, and 4, and for unre-mitting and skilful care of these three children, I amindebted to Dr. FitzWilJiams, the extremely able HouseSurgeon of the Hospital for Sick Fig. 121.—Fibro-plastic tumour of Lebert, 1851. The specimen was shown by M. Broca at the Anatomical Society of Paris. Thetumour was growing from the pia mater, the vessels of this membrane ramifying onboth surfaces. The cerebellum and pons were hollowed out to receive it, but thesubstance of the brain was not invaded by the growth. The external surface was ofa reddish grey colour. On section the surface was of an ashy grey colour, withvascular streaks and blaclc patches of haemorrhage. The consistence of the tumourwas firmer than that of the brain, and, microscopically, cells and fibro-plastic tissuewere seen. There are no clinical details, the tumour having been found accidentallyin a woman who died of peritonitis.
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