. Transactions of the Pathological Society of Philadelphia . e following day I carefullyexamined him, and found that the power of smell and taste had un-doubtedly returned, and the resident in charge maintained that therehad been a distinct return in the sense of hearing; this I failed to con- 272 THE NERVOUS SYSTEM. firm. There was absolutely no change in the blindness, though the pupilreacted distinctly to light. These symptoms of improvement were, how-ever, maintained but a short time. On the third day a hernia cerebribegan to make its appearance, and concomitantly there set in progressivem
. Transactions of the Pathological Society of Philadelphia . e following day I carefullyexamined him, and found that the power of smell and taste had un-doubtedly returned, and the resident in charge maintained that therehad been a distinct return in the sense of hearing; this I failed to con- 272 THE NERVOUS SYSTEM. firm. There was absolutely no change in the blindness, though the pupilreacted distinctly to light. These symptoms of improvement were, how-ever, maintained but a short time. On the third day a hernia cerebribegan to make its appearance, and concomitantly there set in progressivemental failure, coma, and finally death on the fifth day. Autopsy.—December 2, 1890, the dressing being removed, a smallamount of bloody and watery discharge escaped from the wound, whichwas free from odor; but little attempt had been made at union, andunder the flap some effused blood was found. Through the trephineopening a large soft mass extruded, flecked here and there with dark-green masses, looking like altered extravasated blood. The hernia itself. Tumor of cerebellum. Dark portion in centre of engraving represents tumor. projected an inch or more beyond the opening, and for an inch or moreover its edges; it was reddish in color and thoroughly calvarium was removed, the hernia readily slipping back throughthe trephine opening. Its inner surface was found very irregular, beingstudded with minute osteophytes, especially in the left parietal region;it was not especially adherent to the dura. To either side of the attach-ment of the longitudinal sinus were found marked and numerous de-pressions, the bone being in these areas quite translucent. The dura was everywhere tense, except in the left temporal regionand in the immediate neighborhood of the wound. Veins of dura in THE NERVOUS SYSTEM. 278 neighborhood of longitudinal sinus full and prominent. Pacchionianbodies quite large and numerous, and corresponding to areas of thinningin the calvarium. During ma
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Keywords: ., bookcentury1800, bookdecade1890, bookidtrans, booksubjectmedicine
