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The Surgery of the Skull and Brain

INDEX

Reading edition

Abbé’s operation for tic doloreux, 60

Abscess

of the brain, acute traumatic, 247

chronic otitic, 249

multiple, 247

of cerebellum, 258

frontal lobe, 267

temporo-sphenoidal, 263

Acoustic tumours, 213

Adhesions, osseous and meningeal, 195

Alcohol injections in tic doloreux, 313

Anæsthesia in head operations, 12

Anosmia, 162, 220, 263

Aphasia, 142, 155, 221, 258

Apraxia, 221

Arachnoid cysts, 203

Arachnoid hæmorrhages, 158

Arachnoid œdema, 168, 186, 203

Aran’s theory of irradiation, 73

Archibald

on birth-hæmorrhages, 53

compression, 168, 178

Ataxia, 164, 224, 259

Attitude in cerebellar lesions, 224, 262

Aural exostoses, 326, 329

Author’s operation

for defects in the skull, 199

hydrocephalus, 64

subdural hæmorrhages, 156

Basal cephaloceles, 34

Base of skull

fractures of, 73

symptoms observed in fractures of, 89

treatment in fractures of, 116

weakness of, 73

Basic foramina, their influence on basic fractures, 81

Basic fracture, the typical, 77

Bergmann (von)

on cephaloceles, 36

laceration of the brain, 165

middle meningeal hæmorrhage, 143, 148

Bilateral cerebellar exposure, 240

Birth-fractures, 44

Birth-hæmorrhages, 50

Bland Sutton on dermoids, 56

Blood-pressure

in compression, 174

concussion, 167

in middle meningeal hæmorrhage, 140

operations on the skull and brain, 11, 12

tumours, 219

Blood-cysts (subdural), 203

Bone-flaps

in cephaloceles, &c. 39

(König-Müller), 196

(osteoplastic re-section), 25

Boullet on fracture of the mastoid bone, 108

Bowen on subdural hæmorrhage, 153, 158

Bowlby (Sir Anthony) on bullet-wounds, 297, 299

Brain

abscess of, 247

compression of, 172

concussion of, 166

injury to, 159

irritation of, 171

tumours of, 210

Brain-matter, escape of in basal fractures, 93, 101

Broca’s area, 8, 221

Bullet-wounds of the skull and brain, 294

Burghard on Gasserian ganglion removal, 320

Bursting and compression theories, 74

Callen on injuries to the optic nerve, 95

Campbell on cortical motor and sensory areas, 7

Carcinoma

of brain, 215

skull-bones, 334

Carotid artery, injury to internal, 148

Cavernous sinus

injuries of, 150

thrombosis of, 288

Cephalalgia, traumatic, 187

Cephalhæmatomata, 49, 51

Cephaloceles

congenital, 31

traumatic, 40

Cerebello-pontine tumours, 213, 238

Cerebral

abscess, 256

compression, 172

concussion, 166, 177

decompression, 120, 129, 242

irritation, 171

laceration, 159

œdema, 168, 186, 191, 201

tumours, 223

Cerebellum

abscess of, 256

decompression of, 120, 242

lesions of, 164

position of patient in operations on, 12

surface-marking of, 6

tumours of, 223

Cerebro-spinal fluid

escape of from mouth, nose and ears, 91, 100

source of, 91

Cerebrum

acute anæmia of, 167

surface marking of, 6

Chloroform as an anæsthetic, 12

Chloromata, 334

Chronic abscess of the brain, 249

Chronic encapsuled abscess of the brain, 268

Closure

of the dura mater, 16, 236

gaps in the skull, 39, 196

Coma, traumatic and other forms, 179

Comminuted, complicated and depressed fractures of vault, 126

Compression, 172

Concussion, 166, 177

Contre-coup theory

in basic fractures, 75

brain injury, 160

Control of hæmorrhage during operations on the skull and brain, 13

Cortical motor and sensory areas, 7

Cortical scars, 195

Cotterill on hydrocephalus, 67

Crandon and Wilson on hæmorrhages in basic fractures, 91, 99

Cranial defects, 196

Craniectomy, 19

Cranio-cerebral topography, 1

Craniotomy, 25

Crowe and Cushing on the use of Urotropin, 116

Cushing (Harvey)

on birth-hæmorrhages, 52, 55

decompression of the brain, 121, 235, 242

epilepsy, 191

hydrocephalus, 66

pituitary tumours, 244

trigeminal neuralgia, 318

Cushing’s clips, 18

tourniquet, 13

Cysts

of the brain, 215

the meninges, 203

Dana’s syndrome, 209, 225, 259

Decompression

cerebellar, 120, 242

cerebral, 121, 129, 242

Defects of the skull, closure or protection of, 39

Dental chair position in head-operations, 12

Depressed birth-fractures, 44

Depressed fractures of the vault, 126, 129

Dermoids, 55

Duchaine on middle meningeal hæmorrhage, 147

Dura mater

hæmorrhage, external to, 133

hæmorrhage, internal to, 150

opening of, 19, 29

suture of, 16, 236

Duret

on traumatic epilepsy, 193

tumours of the brain, 245

Dwight on fractures of the skull, 98

Eighth nerve, involvement of in basic fractures, 102, 106

Electric stimulation of brain in tumour exploration, 233

Elevation

of depressed birth-fractures, 45

fractures of vault, 129

Endotheliomata of brain and dura, 213

English

on remote effects of brain injury, 182, 187

adhesions between scalp and meninges, &c. 195

Epilepsy

idiopathic, 190

Jacksonian, 189, 192

traumatic, 189

Escape

of air from air-sinuses in basic fractures, 95

blood in basic fractures, 91, 96, 99

brain in basic fractures, 93, 101

cerebro-spinal fluid in basic fractures, 91, 99

Ether as an anæsthetic, 12

Exostoses of the skull, 325

Explosive fractures of the skull, 113

External table of skull, fracture of, 110, 133, 297

Extra-cerebellar tumours, 225

Extra-dural

hæmorrhage, 135

suppuration, 284

Extrinsic sarcomata of the skull-bones, 332

Falx cerebelli, 4

cerebri, 1

Fibromata of dura and brain, 213

Fifth nerve, involvement of in basic fractures, 95, 101

Fifth nerve, neuralgia of, 306

Fissure

of Rolando, 6

Sylvius, 6

Fissured fractures

adult, 129

infant, 49

Foraminal occlusion in skull operations, 17

Fourth nerve, involvement of in basic fractures, 95

Fractures

of base of skull, 73

external table, 110, 133, 296

internal table, 110, 296

mastoid process of temporal bone, 104, 108

skull, Teevan on, 110, 112, 294

vault (adult), 68, 109

vault (birth), 44

Frazier (Charles)

on cerebellar tumours, 239

trigeminal neuralgia, 313, 321

Frontal exostoses, 329

Frontal lobe

abscess of, 262

lacerations of, 162

tumours of, 219

Gaps in the skull, closure or protection of, 196

Gasserian ganglion, 310, 319

Gauze coverings in operations on skull and brain, 13, 16

Gigli saw in operation on skull and brain, 25

Gliomata of the brain, 211

Gowers on optic neuritis, 217

Grafts, muscle, 18

Grünbaum (and Sherrington) on cortical motor and sensory areas, 7

Gutter fractures, 296

Hæmorrhage, control of

from bone, 17

brain, 19

meninges, 17

scalp, 13

Hæmorrhage

conjunctival, 89

extra-dural, 135

occipital, 90

ocular, 90

palpebral, 90

pia-arachnoid, 159

retinal, 90

subdural, 150, 153

temporal, 96

Hæmorrhage

from ear, 96, 108

internal carotid, 148

middle meningeal artery, 135

mouth, 91, 99

nose, 91, 99

venous sinuses, 150

Hæmorrhage into temporal region, 96

Hæmorrhages at birth, 50

Hand-trephine, 21

Harris (Wilfred) on alcohol injections, 310, 314, 316

Hartley-Krause operation for trigeminal neuralgia, 316

Head-injuries, remote effects of, 182

Hernia cerebri, 291

Hernial protrusions, 291

Hill (Leonard) on brain compression, 175

Holder on injuries to the optic nerve, 93

Homonymous hemianopia, 222, 227

Horsley (Sir Victor)

on the regional mortality of brain tumours, 246

pituitary tumours, 242

the ‘two-stage’ operation, 230

Horsley’s

disk elevator, 23

dural separator, 24

gouge, 25

Hudson’s trephine, 21

Hutchinson (Jonathan) on trigeminal neuralgia, 310, 319, 323

Hutchinson pupil, 141

Hydrocephalus, 58

Hysterical neuralgia, 310

Idiopathic epilepsy, 190

Inco-ordination of movement

in cerebellar abscess, 260

tumours, 224

Inferior dental nerve, neurectomy of, 308

Influence

of air-sinuses in basic fracture, 79

basic foramina in basic fractures, 81

sutures in basic fractures, 78

Infra-orbital nerve, neurectomy of, 308

Injuries

to the brain, 159

head, remote effects of, 182

internal carotid, 148

venous sinuses, 152

Intermusculo-temporal cerebral decompression, 121, 236, 267

Internal carotid artery, injury to, 148

Internal table, fractures of, 110, 112, 296

Intra-cerebellar tumours, 225

Intra-cranial birth-hæmorrhages, 52

Irritation of the brain, 171

Jacksonian epilepsy, 189, 192, 221, 262

Jacobson on middle meningeal hæmorrhage, 142

Keen-Hoffmann forceps, 23

Keith on pituitarism, 226

Koch and Filehne on cerebral compression, 167

Kocher

on compression, 176

concussion, 166

epilepsy, 190

König-Müller flaps, 197

Krause on pituitary tumours, 243

Kredel’s hæmostatic sutures, 16, 21

Krönlein on middle meningeal hæmorrhage, 138

Lane’s forceps, 25

Latent period in subdural hæmatocele, 154

Lateral displacement of cerebellum, 238

Lateral sinus

injuries of, 150

surface-marking of, 1

thrombosis of, 281

Line of basic fracture, typical line of, 78

Lines of basic fracture, 82

Little’s disease, 52

Luciani on cerebellar abscess, 260

Lucid interval in middle meningeal hæmorrhage, 139, 151

Lumbar puncture

in hydrocephalus, 61

meningitis, 281

subdural hæmorrhage, 54, 120, 155

tumours, 227, 236

Lyssenkow on cephaloceles, 32, 39

Macewen

on brain abscess, 290

pus evacuation, 266

Macewen’s suprameatal triangle, 5

Malar tubercle, 4

Mania (acute) after brain injuries, 201

Mastoid antrum

operations on, 269

surface-marking of, 5

Mastoid process

displacement of, 108

exostoses of, 329

Mechanism of basic fractures, 73

Meningeal cysts, 203

Meningitis, 273

Mental condition

in abscess of frontal lobe, 263

compression, 176

concussion, 170

irritation of the brain, 171

lateral sinus thrombosis, 283

meningitis, 279

tumours of the brain, 216

Middle meningeal artery, surface-marking of, 5

Middle meningeal hæmorrhage, 135

Morphia

before and after operation, 11, 30

in cerebral concussion, 178

cerebral irritation, 128

trigeminal neuralgia, 313

Motor areas of cortex, 7

Motor speech area, 8

Multiple abscess of the brain, 247

Muscle grafts, 18, 234

Neuralgia

hysterical, 310

major, 308

minor, 306

of inferior dental nerve, 308

infra-orbital nerve, 308

supra-orbital nerve, 309

Neurasthenia after head-injuries, 185

Neurectomy of the branches of the fifth nerve, 308

Nicholl on birth-fractures, 46

Ninth nerve, involvement of in basic fractures, 106

Nystagmus, 224

Occipital cephaloceles, 33

Occipital lobe

lesions of, 164

tumours of, 222

Occipital sinus, surface-marking of, 4

Olfactory nerve, involvement of in basic fractures, 94

Opening of dura mater, 29, 119

Optic nerve, involvement of in basic fractures, 95

Optic neuritis

in abscess of the brain, 254

lateral sinus thrombosis, 283

meningitis, 279

tumours of the brain, 216

Orbital aneurysm, 204

Orbital hæmorrhage, 90

Osteomata of the skull-bones, 325

Osteoplastic re-section of the skull, 25, 229

with decompression, 235

Pachymeningitis, 274

Palliative treatment of cerebral and cerebellar tumours, 241

Palpebral hæmorrhage, 90

Parietal prominence, 4

Parieto-occipital fissure, 7

Parsons on the pupil in middle meningeal hæmorrhage, 143

Pathology

of brain abscess, 251

tumours, 210

Paton on optic neuritis, 217, 218

Percussion of skull in fractures of vault, 112

Phelps

on brain laceration, 160, 162

bullet-wounds, 304

middle meningeal hæmorrhage, 142

Pia-arachnoid hæmorrhage, 159

Pituitary tumours, 225, 243

Plating of skull in traumatic and other defects, 198

Pneumatoceles, 93, 108

Position of patient in head-operations, 12

Powell on traumatic insanity, &c., 202

Precautions against the development of shock, 11

Preparation of operative field, 13

Preparatory treatment, 10

Pringle on percussion of the skull, 112

Prognosis

after decompression, 243

in brain abscess, 290

cavernous sinus thrombosis, 290

lateral sinus thrombosis, 290

meningitis, 290

Proptosis

in basic and brain lesions, 90

cavernous sinus thrombosis, 289

orbital aneurysm, 206

Protection of gaps in the skull, 196

Pulsating exophthalmos, 205

Puncture of the ventricles, 61, 236

Punctured fractures, 132

Pupillary changes in middle meningeal hæmorrhage, 142

Radical treatment of cerebral and cerebellar tumours, 229, 237

Reading, cortical area concerned in, 9

Regional mortality

in basic fractures, 133

brain tumours, 245

Reid’s base-line, 6

Remote effects of head-injury, 182

Results after operation

on abscess of the brain, 290

alcohol injections for tic doloreux, 316

basic fractures, 133

brain tumours, 245

bullet-wounds, 304

Gasserian ganglion removal, 323

middle meningeal hæmorrhage, 147

subdural hæmorrhage, 158

traumatic epilepsy, 200

insanity, 201

Retinal hæmorrhages (Fleming on), 90

Retraction of the head and neck

in cerebellar abscess, 260

tumours, 224

in meningitis, 280

Rivington on pulsating exophthalmos, 204

Rolando, fissure of, 6

Safety-valves in middle meningeal hæmorrhage, 96, 139

Sarcomata

of bone, 330

brain, 211

Scalp-tourniquet

author’s, 15

Cushing’s, 13

Schlösser on alcohol injections for tic doloreux, 313, 316

Sensory cortical areas, 7, 8

Serous meningitis, 273

Seventh nerve, involvement of in basic fractures, 102, 106

Shaving of scalp, 10

Shaw (Claye) on general paralysis, 203

Sheen’s bullet-forceps, &c., 301

Sherrington and Grünbaum on cortical areas, 7

Shock (cerebral), 166

Shock, precautions against, 11

Sincipital cephaloceles, 34

Sinus pericranii, 150

Sinuses (air), influence on in basic fractures, 79

Sinuses, thrombosis of, 281, 288

Sinuses (venous), injuries of, 150

Slow cerebration, 140

Smell, registration of, 9

Speech areas, 8, 163

Stage of depression in concussion, 168, 170

Stage of reaction in concussion, 168, 170

Stereognosis, 9

Sterilization of skin, 11

Stewart (Purves) on tic doloreux, 314

Stromeyer on sinus pericranii, 150

Subconjunctival hæmorrhage, 89

Subdural hæmorrhage, 150

Summary of theories re basic fractures, 89

Superior longitudinal sinus

injuries of, 150

surface-marking of, 1

Supra-meatal triangle (Macewen), 5

Surgical emphysema, 93, 108

Sylvian point and fissure, 6

Syphilomata of brain, 214

Taste, registration of, 9

Technique of operations on the skull and brain, 10

Teevan on fractures of the internal table, 110

bullet-wounds, 294

Temperature in relation to head-injuries, 114

Temporal crest, 4

Temporal hæmatomata, 96

Temporo-sphenoidal lobe

abscess of, 256

injuries of, 164

tumours of, 222

Tenth nerve, involvement of in basic fractures, 106

Thiersch’s method of neurectomy, 308

Third nerve, involvement of in basic fractures, 95

Thrombosis

of cavernous sinus, 288

lateral sinus, 281

Tod (Hunter)

on abscess of the brain, 249

aural exostoses, 329

lateral sinus thrombosis, 283

Traumatic

cephalalgia, 187

defects in the skull, 196

epilepsy, 189, 192

insanity, 201

mania, 201

neurasthenia, 185

orbital aneurysm, 205

Tuberculomata of the brain, 214

Tuberculous meningitis, 275

Tumours

of brain, 210

skull-bones, 325

Twelfth nerve, involvement of in basic fractures, 107

Urotropin

Crowe and Cushing on the use of, 116

routine use of, 118

Vault

birth-fractures of, 44

fractures of, 109

Venesection in cerebral compression, 119

Ventricular puncture, 62, 236

Ventriculo-abdominal drainage, 66

subdural drainage, 63

Vertigo

in cerebellar abscess, 259

tumours, 224

Vilbiss (de) forceps, 25

Visual impressions, registration of, 9

Vorschütz’s safety-pins, 16, 17, 21

Wagner on osteoplastic re-section of the skull, 25

Walton on middle meningeal hæmorrhage, 143

Weber (Parkes) on hydrocephalus, 58

Wiesman on middle meningeal hæmorrhage, 139, 141, 147

Writing, cortical area concerned in, 9

X-rays

in bullet-wounds, 294

fractures of the skull, 112

tumours, 228

Yawning

in abscess of the cerebellum, 262

lesions of the cerebellum, 165

Ziegler on traumatic sarcomata, 331

Zygoma, 4

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