The treatment of fractures . Fig. 25.—Case II. Open depressed frac-ture of the skull: A, the mid-point be-tween glabella and inion; A, middle ofdepressed bone. 42 INJURIES TO THE HEAD The dura was left open and the cavity was drained by a wick of gauze,which was removed upon the third day. A few hours after the operation the boy was perfectly conscious asbefore the etherization, the pupils were normal, and motion hadreturned in the paralyzed limbs. Three weeks after the operation a small, granulating wound remainedand there was a slight tendency to hernia cerebri. Four months following the acc
The treatment of fractures . Fig. 25.—Case II. Open depressed frac-ture of the skull: A, the mid-point be-tween glabella and inion; A, middle ofdepressed bone. 42 INJURIES TO THE HEAD The dura was left open and the cavity was drained by a wick of gauze,which was removed upon the third day. A few hours after the operation the boy was perfectly conscious asbefore the etherization, the pupils were normal, and motion hadreturned in the paralyzed limbs. Three weeks after the operation a small, granulating wound remainedand there was a slight tendency to hernia cerebri. Four months following the accident the boys condition is asfollows: The wound is nearly healed and continues to discharge attimes. He walks naturally. There is no paralysis of arm or of mental symptom is present. The interesting and unusual fact in this case is that after a blowsufficiently severe to cause a depressed fracture of the skull andparalysis of one-half of the body the patient remained Fig. 26.—Case III. The exact location of the injury to the head and brain is shown infigure 25. Case III.—A blow upon the head.—Uncoiisciousness immediate.—Slight bulging of right eye.—Middle meningeal hemorrhage.—Frac-ture of skull. — Operation.—Recovery. Examination found edema of the right temporal region. Uncon-sciousness present. An interval of consciousness was absent. Slightbulging of the right eye. Operation in the right temporal region. A skin-flap was made overthe fracture and edematous area. A fracture was detected runningfrom about the middle of the temporal ridge an inch back of thecoronal suture outward and forward across the squamous part of thetemporal bone to a half-inch behind the pterion. ILLUSTRATIVE CASUS 43 The bone anteriorly to the fracture was depressed. The trephinewas applied over the depressed portion behind the coronal exposing the dura no pulsation was seen. The dura was darkin color. A slight amount of extradural blood escaped
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectfractur, bookyear1901
