Brain surgery . ongest interval during the yearwas nine weeks. He had three fits in March, 1892. Hewas very dull mentally, and had been treated by verylarge doses of bromide of potassium, which diminished thefrequency of but did not arrest the fits. Operation by trephining was performed by Dr. McBur-ney on the 2d of April, 1892. The skull was opened atthe point of fracture over the arm centre on the right side(Fig. 14). The external table was found to be fracturedbut the internal table appeared to be uninjured, but a smallsplinter of bone was found indenting the dura. Thedura was very much thi
Brain surgery . ongest interval during the yearwas nine weeks. He had three fits in March, 1892. Hewas very dull mentally, and had been treated by verylarge doses of bromide of potassium, which diminished thefrequency of but did not arrest the fits. Operation by trephining was performed by Dr. McBur-ney on the 2d of April, 1892. The skull was opened atthe point of fracture over the arm centre on the right side(Fig. 14). The external table was found to be fracturedbut the internal table appeared to be uninjured, but a smallsplinter of bone was found indenting the dura. Thedura was very much thickened and the pia and brainwere decidedly cedematous and yellower than pulsation in the brain was greater around thediscolored area than in it. The discolored area pitted 3G BRAIN SURGERY. upon pressure and to the touch gave the impressionas if a cyst lay beneath, but puncture in all direc-tions with a hypodermic needle failed to reach any portion of the softened area was cut out. It was exam-. Fig. 14.—The Situation of the Opening made in the Skull in Case III. ined by Dr. Van Gieson, who reported as follows: Ifind that a splinter of bone has been driven down into thedura; the dura is thickened at this place and mattedtogether with the pia. Dura is also sharply indentedwhere the splinter is impacted. I think that the splinterhas been much reduced in size by rarefying osteitis (onlya few interlacing delicate trabecular remain of the bone).The splinter was probably originally much larger. Brainsubstance is much changed, there are too many gliacells. The cortex seems to have come from the motorregion: this I gather from the presence of the very large TREPHINING FOR EPILEPSY. 37 ganglion cells in the third layer. 1 The wound healedeasily. He had no paralysis and in three weeks he wasdischarged from the hospital. At that time he hadimproved very much mentally, and had had no fits. Soonafter leaving the hospital the fits began again, and in thesummer they occurr
Size: 1490px × 1678px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdecade1890, bookidbrainsur, booksubjectbrain
