Trephining in Its Ancient and Modern Aspects

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Bale, 1894 - Trephining - 133 pages
 

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Page 133 - Look not mournfully into the Past. It comes not back again. Wisely improve the Present. It is thine. Go forth to meet the shadowy Future, without fear, and with a manly heart.
Page 131 - The times have been That, when the brains were out, the man would die, And there an end ; but now they rise again, With twenty mortal murders on their crowns, And push us from our stools.
Page 1 - That not to know at large of things remote From use, obscure and subtle, but to know That which before us lies in daily life, Is the prime wisdom...
Page 125 - The rapid recovery which so frequently occurs in cases of aphasia, especially of the kind due to embolic plugging of the nutrient arteries of the left centres, is not so much to be regarded as an indication of the education of the right centres, but rather of the re-establishment of the circulation and nutrition in parts only temporarily rendered functionless.
Page 130 - Hey's saw or bone-forceps where practicable, so as to give exit to pus, or remove a source of otherwise fatal irritation ; but it seems to me that the important and yet undecided question is, Are we to use these means at first, without waiting for the development of symptoms, in order to prevent their occurrence...
Page 76 - The bifurcation of the fissure of Sylvius corresponds to a point one inch and a quarter behind and a quarter of an inch above the level of the external angular process of the frontal bone.
Page 103 - ... the structural damage and the cerebral symptoms present — considerations which the distinguished author of the work himself fully recognizes — it would be unsafe to speak with confidence on the subject, and especially where the weight of English, French and German military surgical authorities is directly antagonistic. I am inclined to believe that the truth lies somewhere between these two extremes, and that while the European practice has been too restricted, the American may have been...
Page 102 - Crimea ; when the operation of trephining can only be an additional complication to the original injury, without any probable advantage. Where irregular edges, points, or pieces of bone are forced down and penetrate — not merely press upon — the cerebral substance, or where abscess manifestly exists in any known site, or a foreign substance has lodged near the surface, and relief cannot be afforded by the wound, trephining may be resorted to for the purpose; but the application of the operation,...
Page 56 - Some of these fits lasted as much as six hours, during which the patient retained his consciousness. This patient was affected with an ulceration which lasted over a period of between eight and nine years, and which had extended over the skin of the whole right arm, from the shoulder to the wrist. The application of the trephine in this case was made over the right temporal bone; the portion of the internal table removed was slightly roughened, but not nearly so much as in the preceeding case.
Page 66 - There were two formidable barriers to the advance of surgery in this region : — First, the fact that the majority of intra-cranial operations were attended by inflammatory action, which so often proved fatal as to cause surgeons to shun active interference ; and, secondly, the brain was a dark continent in which they could descry neither path nor guide capable of leading them to a particular diseased area, and, did they attempt to reach it, it could only be by groping in the dark.

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