Category: Health & Medicine
FIGS. PAGES 1 and 2. Cranio-cerebral topography 2, 3 3. The cortical motor and sensory areas 8 4 and 5. The scalp-tourniquet 14, 15 6. Cushing’s ‘clips’ 18 7. Hudson’s trephine 20 8. The hand-trephine 21 9 and 10. The technique of trephining 22 11-16. Instruments used in treph...
FIGS. PAGES 1 and 2. Cranio-cerebral topography 2, 3 3. The cortical motor and sensory areas 8 4 and 5. The scalp-tourniquet 14, 15 6. Cushing’s ‘clips’ 18 7. Hudson’s trephine...
5. CHAPTER IThe surgeon who is called upon to carry out operations on the skull and brain must possess an accurate knowledge of the anatomy of the parts involved. Added to this, he must hav...
6. CHAPTER II=Preparatory treatment.= Where possible at least two or three days should elapse between the admission of the patient and the day of operation. During this period the patient sh...
7. CHAPTER IIIThe term ‘Cephalocele’ has been applied to all those tumours which project through a gap or deficiency in the bones of the vault and base of the skull. The tumour may be congeni...
8. CHAPTER IV=General considerations.= Fractures of the skull do not form more than one-twentieth part of the fractures admitted annually into the hospitals, but, in spite of this relative i...
9. Chapter IX).=Fractures of the internal table alone.= Ambrose Paré drew attention to this class of fracture in 1652, but it remained for Teevan to investigate more fully the condition in 186...
10. Chapter VI). In other words, early and active surgical interference isimperatively demanded, for not only is it necessary to strain every endeavour to save the patient’s life, but the surgeon should also adopt those procedures which guard most eff...
11. CHAPTER VExtra-dural hæmorrhage may be arterial or venous in origin. In the former case the blood is derived almost exclusively from the middle meningeal artery. When of venous origin th...
12. CHAPTER VI=General considerations.= It is often stated that a patient who has received a severe head-injury is ‘never the same man afterwards’. Before accepting such a sweeping statement-...
13. CHAPTER VII=Tumours of the brain.= Tumours may develop in any part of the cerebrum and cerebellum, from the sheaths of the efferent nerves, from the vascular tissues, and from the membrane...
14. Chapter II), but there can be no question that a brain tumour should beexposed by the formation of an osteoplastic flap. Such a procedure is called for on the ground that the exact localization of the tumour is always a matter of very great difficu...
15. CHAPTER VIII=Multiple abscess.= Multiple abscess results from the lodgement of infected emboli which, derived from an acute infective osteomyelitis, endocarditis, gangrene of the lung, &c.,...
16. CHAPTER IXBefore, however, noting the varying effects on the skull as produced by one or more of these factors, it will be necessary to allude briefly to the average effect on the skull a...
17. CHAPTER XNeuralgia of the fifth or trigeminal nerve is, in its varying degrees, of frequent occurrence. In its cause, manifestations, and progress, it offers so wide a field for discussi...
18. cm. The structures pierced are the anterior fibres of the masseter andthe buccinator muscles. If directed too horizontally, the needle will pass below the nerve and reach the spheno-palatine region; if too high, the sphenoidal fissure may be reach...
19. CHAPTER XIIn this the last chapter of this work, I originally intended to deal with tumours of the scalp and skull-bones. With respect to tumours of the scalp there is, however, but littl...