File:Some points in the surgery of the brain and its membranes (1907) (14770598064).jpg

Identifier: somepointsinsurg00ball (find matches)
Title: Some points in the surgery of the brain and its membranes
Year: 1907 (1900s)
Authors: Ballance, Charles Alfred, Sir, 1856-1936
Subjects: Brain Brain Neoplasms Brain Abscess Brain
Publisher: London New York : Macmillan
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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s far as themiddle line and as deeply as the pons, and was attachedto the under surface of the tentorium just internal tothe lateral sinus. The child stood the operation well. Progress—July 20th.—There has been occasionalvomiting and rise of temperature since operation.Wound now soundly healed. The voice, which wasrather drawling after the operation, has now muchimproved. August \th.—Inco-ordination is still mani-fest in both arms ; nystagmus, which was worse justafter the operation, is now better, but still present.Left plantar reflex no longer extensor. September %th.—Is much brighter and stronger ; has learnt to walk.The nystagmus and inco-ordination are both improved. OF TUMOUR OF THE BRAIN 257 November ^th. — Has been at a convalescent homesince last note ; is now much stronger. The inco-ordination of the right arm has improved ; that of theleft is the same. He walks with a stiff gait. September1906.—Child quite well. Case 4.—Female, aged seven years and ten months.
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Fig. 118. Fig. 119. Figs. 118, 119.—Case 3. Dr. Colmans case fifteen months after operation. The scalp flap is concave. Admitted to the Hospital for Sick Children underDr. Garrod, May 29th, 1905. Her illness commencedin the preceding January with vomiting, which at firstoccurred every morning, and has been repeated atintervals ever since. All the time she has had attacksof pain in the back of her head so severe as to causeher to cry out. She would sometimes grasp her throatand say she felt as if she were being strangled. Shewalks with a stiff gait and has wasted a good deal. s 258 SOME POINTS IN THE SURGERY Her father and mother are well ; she is the thirdof five children, one of whom has had post-diphtheriticparalysis. No history of tubercle in family. On admission.—-Well-nourished child ; complains ofpain at the back of the head. No tenderness of scalp.No signs of rickets or syphilis. No fixed attitude ofhead. The skull is asymmetrical, but the cerebellarregions seem equal. Sens

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