. Some points in the surgery of the brain and its membranes . acent brain cortex, a meningo-cortical abscessrather than a brain abscess proper. Less frequently injury leads to local chronicdisease of bone, from which a brain abscess maysubsequently arise. I have elsewhere spoken ofbrain abscess secondary to local cranial suppura-tion. The general infective diseases most liable tobe complicated with abscess of the brain are (a)pyaemia ; (^) tubercle ; (r) certain specific fevers,such as influenza, enteric fever, or variola. Little need be said of brain abscess secondaryto general pyaemia. The b
. Some points in the surgery of the brain and its membranes . acent brain cortex, a meningo-cortical abscessrather than a brain abscess proper. Less frequently injury leads to local chronicdisease of bone, from which a brain abscess maysubsequently arise. I have elsewhere spoken ofbrain abscess secondary to local cranial suppura-tion. The general infective diseases most liable tobe complicated with abscess of the brain are (a)pyaemia ; (^) tubercle ; (r) certain specific fevers,such as influenza, enteric fever, or variola. Little need be said of brain abscess secondaryto general pyaemia. The brain is one of theless common localisations of pyemic abscess, and OF ABSCESS OF THE BRAIN 89 general pyemia is happily a disease well on itsway towards becoming extinct. It is of great interest that cases have been metwith of abscess of brain, apart from any othermacroscopic intra-cranial tubercular lesion, whichhave yielded pure cultures of the tubercle bacillus. Cases of brain abscess following, and appar-ently caused by, the acute specific fevers, with-. FiG. 41.—Traumatic meningo-cortical abscess of brain. (Starr.) The abscess was in the inferior parietal region, and was secondary to fracture ofthe skull. The thick capsule of the abscess can be seen. The patient was an injury was followed in two weeks by hemiplegia and hemianopsia. In 22 cases of brain abscess observed at the Presbyterian Hospital, New York,12 were due to trauma. Starr also relates 3 cases which recovered. out any evidence of disease of the cranial bonesor anything to suggest pyaemia have been fromtime to time reported ; for example. Dr. Bristowein 1891 published two such cases (to which Ishall have again occasion to refer) followinginfluenza. These cases rarely come under asurgeons observation ; they present great diffi-culties in diagnosis, and even when brain abscesshas been suspected there has usually been littleor nothing to show in which region or even 90 SOME POINTS IN THE SURGERY on wh
Size: 2145px × 1165px
Photo credit: © Reading Room 2020 / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1900, bookpublisherl, booksubjectbrain
