Brain surgery . r, and October; all of the attacks beingof the same character, excepting that on two occasionshe lost consciousness for a few minutes. Examinationin October, 1890, failed to reveal any deformity of theskull or any evidence of hemiplegia. He was rather slowand deliberate in his speech, with some slight hesitationfor words, but this he maintained was his usual discs were clear, and his pupils equal. He was putupon bromide and belladonna, which he continued untilMarch, 1891, during which time he had no attacks. TREPHINING FOR EPILEPSY. 45 Between March and June, he aver
Brain surgery . r, and October; all of the attacks beingof the same character, excepting that on two occasionshe lost consciousness for a few minutes. Examinationin October, 1890, failed to reveal any deformity of theskull or any evidence of hemiplegia. He was rather slowand deliberate in his speech, with some slight hesitationfor words, but this he maintained was his usual discs were clear, and his pupils equal. He was putupon bromide and belladonna, which he continued untilMarch, 1891, during which time he had no attacks. TREPHINING FOR EPILEPSY. 45 Between March and June, he averaged one severe attackand three slight attacks every month, all of which weresimilar to the attack first described. After each attack henoticed a decided difficulty in his speech, and the slownessof speech previously noticed still persisted. While therewas no apparent clumsiness or anaesthesia in his rightside, the power in his right hand was 100 as comparedwith 110 in his left. His personal equation was about. Fig. 19.—The Situation of the Opening made in the Skull in Case VIU. normal, hearing being TX^6T of a second, sight y^ of asecond, an average of seven tests being taken. It being thought that the injury had probably produceda small hemorrhage upon the surface, the remnants ofwhich might be removed, it was decided to trephine operation was performed in June, 1891, by , an opening being made over the arm centre,and extending downward toward the face and motor 46 BRAIN SURGERY. speech centres (Fig. 19). No evidence of fracture wasfound in the skull, and the dura was not adherent, and theDrain appeared to be normal. The wound healed perfectly,and by December the hole in the skull had become filledup by a tense membrane, so it could not be depressed toany extent by the finger. He had two attacks betweenJune and December. These attacks were of the samecharacter as those occurring before the operation. Hestill talked slowly. During 1802, his attacks becamem
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