Typhlitis consolidating with high dose arac

i» i position of the fissure of Rolando, was r^£T£L Cdestrnction of the cerebral cortex nvo Wed nearly all the ascending parietal convolution the upper 'p Tt ofthe ascending frontal, and the anterior p .

The cut surface was treated with a strong soutimi of rinc chloride and iodoform, and a cap of block-to Spbed The hernia cerebri again increased somewhat, but all led to be doing well, when, on the twenty first day a n appeared, headache followed and vomiting, then restlessness, Xeplessness, and gradual sinking about four weeks after the ° P M^the post-mortem examination extensive arachnitis was found The parietal area appeared to have fallen in ; in its touna.

Elsewhere the skin was brought accurately ST f Ant ™ Vt[G P recautions ng -*« and clot - witt ' TV \^ cerebral stricture.

The b^Tr ™\ d ™ wn t0 S ether sutures, and a drainage-tube msertea beneath it.

THE OPERATIONS OF SURGERY the OPERATIONS OF SURGERY INTENDED ESPECIALLY FOR THE USE OF THOSE RECENTLY APPOINTED ON A HOSPITAL STAFF AND FOR THOSE PREPARING FOR THE HIGHER EXAMINATIONS BY W. Towards the upper part of the opening the brain offered resistance on palpation, lms sensation proceeded from the interior of the brain, in the direction of the paracentral lobule, a layer of brain tissue inter- vening between this more resistant structure and the finger An incision being made through the upper part of the ascending parietal towards this firm structure, about two drachms of grumous md escaped.

I have given several methods * for finding the fissure of Ro- lando, as some authorities— a.g., Prof. The surgeon must be prepared to use his trephine freely. 54 and 5 5).— After con- sidering that most important part of the brain, the motor area, which lies under the parietal bone, it will be well to recall the landmarks of. The dura mater was opened, and a surface of brain exposed nearly equal in size to that of the skull -opening. This delay will, perhaps, be excused when it is remembered what time and trouble are needed for an attempt to bring a book like this up to date, and to make the needful alterations and additions. a Larg G Sarcoma ' causing Hemianopsia, from the Occipital Lobe IXS- • . By further removal of bone the mass to which the dura mater was adherent was completely exposed. I was unprepared for the rapid sale of the first edition, and the book has consequently been out of print for twelve months. next drawing the finger gently but firmly towards the cranial opening, the tumour was torn nearly completely in two, and its of the V, , 3 ! On June 22, 1886, the seat of the lesion being determined by measurement, the 2 -inch trephine was applied, and on removing the dura mater a tumour came into view. Under the above heading such bodies as bullets, knife-points, &c, are included. As to the fatality of wounds of the different portions of tt brain, 5 8 deaths took place out of 1 3 2 cases where the foreig: body entered through the frontal bone ; 5 8 wounds of the parietr showed 2 7 deaths and 3 1 recoveries. (After Eeid.) for cerebral tumour, used the following simple method of expos* the fissure of Rolando in its middle third :— J (1) A line was drawn between the frontal and occipital § tuberances. ' ^ this ^ ^ S3, ^gjitly altered, h M o Lt T Sf n Tw^! PO, Parieto-occipital fissure between the parietal and occipital lobes. (After Turner.) The occipitoparietal or larabdoidal suture, the posterior limit of she parietal bone, will be marked out by a line which starts from \ point 2f inches above the external occipital protuberance, and runs forwards and downwards to its termination, which will be ound on a level with the zygoma, ri inch behind the meatus As the occipital lobe is not limited to the upper portion of the occipital bone, but extends forwards under cover of the posterior )art of the parietal, the parieto-occipital fissure lies about f inch n tront of the apex of the lambdoid suture (Fig. As, however, there was a tender spot on the scalp 2 inches anterior to this, the first opening was made (with a trephine 1 inch in diameter) between the two.* The dura mater was normal ; after a crucial incision was made in it, the brain was thought to bulge abnormally, and to be rather more yellow than usual, otherwise it was healthy. OPERATIVE INTERFERENCE IN THE CASE OP FOREIGN BODIES IN THE BRAIN. Tht observer found that bullets introduced into different portions | the upper parts of the hemispheres and the cerebellum gradual; penetrated the brain substance, ultimately reaching the basis crami the bullet tracks healing after them (Nancrede, from Wharton). About twelve hours afterwards, when seen by the surgeon, he was semi-conscious, aphasic, with complete loss of motion, without loss of sensation on the right side below the head. Ca Se UDder th bec ° ua ' ™ * 1 ana 2 /» , second temporo-spheuoidal tions. Between P ° mt S ' Pa SSing ratll6r ° bli( * uel y forwards, lies this 'eent S 2? E, Fissure of Eolando, separating the parietal from the frontal lobe. The outlines of the coronal, squamoso-parietal, and larabdoidal sutures are also seen. ™ th C av ^ge^ist7nce in eleven .skulls as »■ ^cas-Champiomuere inch behind the diagonal line, and about 1 4- inch from the median longitudinal line.

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The local inflamma- tion of the wound had opened out the parts, and separated the adhesions so as to allow the discharge to percolate into the cranial cavity, but not till three weeks after the operation. It being found that the hemorrhage could be checked by direct pressure, the cavity was packed with 5 p* cent iodoform gauze, not too tightly, as it was assumed that the released brain would contribute additional pressure, and the ends of the strips were allowed, for easy extraction, to protrude from the lower angle of the scalp wound ; the dura was partly united over the gauze by several loose sutures instead of being brought c Lely together, and the scalp wound closed with ca gut sutures a rubber frainage-tube being introduced under the skin up to the skull opening, aid over these sublimated and iodoform pea bags were secured with gauze bandage. Sd., 1888,) has published a most m erestmg case of fibroma, weighiug over three ounces, m ater, which he removed successfully m a patient aged werty seven The growth probably dated to an injury in childhoou ll caused epilepsy, aphasia, complete hemiplegia, neuralgia, deafness, and great impairment of vision J»« the eye" and ear symptoms, all the others had P--d "way slowness of speech and the epilepsy, and the last was m disease. 231 there is good reason to believe that the growths are primary and single (p. The following is one of the most interesting of Prof. The character of the fits was nearly always the same.

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