. Some points in the surgery of the brain and its membranes . d lines) ; B, anterior limit of the lesion beneath the cortex. with. At the autopsy a tumour was found involvingthe third left temporal convolution (Mills). 2. Captain M., aged forty-four years, suffered sixweeks before I saw him with an inflamed throat, pain inthe left ear, and left otitis media. For ten days he hadhad pains in the head and vertigo. Pus could be seenoozing from a perforation in the lower part of thedrum. For a fortnight hot fomentations and anti-septic irrigation were employed, and at the end of thattime the patien
. Some points in the surgery of the brain and its membranes . d lines) ; B, anterior limit of the lesion beneath the cortex. with. At the autopsy a tumour was found involvingthe third left temporal convolution (Mills). 2. Captain M., aged forty-four years, suffered sixweeks before I saw him with an inflamed throat, pain inthe left ear, and left otitis media. For ten days he hadhad pains in the head and vertigo. Pus could be seenoozing from a perforation in the lower part of thedrum. For a fortnight hot fomentations and anti-septic irrigation were employed, and at the end of thattime the patient returned without headache, but still 1 See page i 54 for another case of anomia. OF ABSCESS OF THE BRAIN 113 with otorrhoea and vertigo. The complete mastoidoperation was then done. As the tegmen was cariousit was removed. The dura over the tegmen wasinflamed and not pulsating normally. For a fort-night all went well. The patient was out daily and ap-peared to be convalescing. The temperature then roseto lO] ^ and the patient was sick. Next morning he was. Fig. 51.—Capt. M. Case illustrating site of naming centre. a. Granulating cerebral cortex seen through opening in dura covering region oftegmen tympani three weeks after operation. (From a photograph by A. C. Ballance.) To discover the stalk and evaciiate the contents of a temporo-sphenoidalabscess the operator removes the tegmen tympani. irritable, temperature ^9°, general headache, and feelingof nausea. Suddenly he was much perturbed by beingunable to name anv object or person, though still ableto converse in a somewhat confused manner. Thiscondition, in its worst form, lasted about two the evening the exposed dura was bulging, headacheand nausea continued, vomiting was repeated, and bothdiscs were congested. An anassthetic was given, and I 114 SOME POINTS IN THE SURGERY the bulging dura incised. The membranes and cere-bral cortex were fused together, and on passing thelittle finger through the dura a cavity i
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