The science and art of surgery : being a treatise on surgical injuries, diseases, and operations . as large as a pigeons Ggg^ containing an irregularvery hard dry clot of blood, was found pressing on the pons sac had given way at one point, extravasation taking place into thesubstance of the pons, which was softened, and of a bluish color. 2. The most frequent mode in which death takes place in these casesis by the sttdden rupture of the sac and extravasation of blood into thecavity of the arachnoid and the meshes of the pia mater at the base ofthe brain, or into the lateral ventri


The science and art of surgery : being a treatise on surgical injuries, diseases, and operations . as large as a pigeons Ggg^ containing an irregularvery hard dry clot of blood, was found pressing on the pons sac had given way at one point, extravasation taking place into thesubstance of the pons, which was softened, and of a bluish color. 2. The most frequent mode in which death takes place in these casesis by the sttdden rupture of the sac and extravasation of blood into thecavity of the arachnoid and the meshes of the pia mater at the base ofthe brain, or into the lateral ventricles—either from the aneurism pro-. Fig. ,SS3.—Aneurism of the Left Internal Carotid,bursting into Lateral Ventricle. View of An-eurism from above, projecting into Ventricle. Fig. 38-1.—View of the same Aneurism frombelow, imbedded in substance of Hemi-sphere. jecting into them and there giving way, or rupturing into these cavitiesb}^ breaking down the intervening cerebral substance (Figs. 383, 384).When this mode of termination occurs, there are occasionally no warn-ing nor premonitory symptoms of an impending danger; the patient,when apparently in good health, being struck down hy an attack ofapoplexy which is speedily fatal. More frequently a series of thosesymptoms that have already been mentioned as attending many cases ofthis disease, precede the fatal event for a longer or shorter time. Whenrupture of the sac and extravasation of blood take place, death is inevi-table ; at least, I am not acquainted with any case in which the appear-ance found after death converted me to the belief that the patient hadeven te


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Keywords: ., bookcent, bookdecade1870, booksubjectsurgicalproceduresoperative