Brain, Vol. 25

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Excerpt from Brain, Vol. 25: A Journal of Neurology, Edited for the Neurological Society of London In the course of my hospital career I have had before me, like every other surgeon, a large number of cases of head-injury, and in the presence of no one of them have I not been conscious of the intricate difficulty of the problems to be solved, or very frequently not been eager to discover some ground, however small, for bringing relief and it may be rescue from impending danger to the injured person. The conditions of modern surgery, anti- or a-septic, as the practice of the individual may decide, come here to the surgeon's aid, and that which has been found practicable in the case of other closed cavities and serous membranes, and the diseases confined by them is, we all know, equally practicable in the case of the skull and the membranes of the brain. I compare the state of things now with the state of things in my student days. Then, hesitation in resorting to surgical measures, even by the least fearless surgeons, now, the fullest confidence that the chief danger of wounds has been removed. Then, the unhappy prospect, too often fulfilled, of meningitis, pyæmia, and death, now, the practical certainty that not one of these dire consequences is to be feared. During the last fifteen years of my practice at St. Mary's Hospital I find that in only two cases of head-injury, neither of which was subjected to operation, was death brought about by visible septic agencies: one from septic meningitis, the origin of which was never explained, the other because of a fracture through the middle fossa having opened a communication between the cranial cavity and the middle ear, which was affected with chronic suppuration. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully, any imperfections that remain are intentionally left to preserve the state of such historical works.