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THE SURGERY OF
THE SKULL AND BRAIN


                                                                                                                                                                                                                                                                                                           

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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 trephining 23, 24
17-19. The formation of an osteoplastic flap 26, 27
20. An occipital cephalocele 33
21. A cephalocele over the anterior fontanelle 35
22. An occipital cephalocele 37
23. A depressed birth-fracture 45
24 A and B. A case of depressed birth-fracture, before and after operation 47
25. To illustrate the effects and position of a birth-hÆmorrhage 53
26. The author’s operation for Hydrocephalus internus 64
27. The conversion of Hydrocephalus internus into cephalocele 65
28. Illustrating the lines along which forces received on the vault are transmitted to the base 69
29 A and B. The base of the skull and the base as seen on transillumination 70, 71
30. Plan of the base of the skull 77
31. To illustrate the relation of basic fractures to cranial nerves 81
32-37. The lines pursued by basic fractures 83-8
38 A and B. To illustrate the probable source of profuse hÆmorrhage from the ear 97
39. To show the relation of a typical basic fracture to the middle ear and its adjuncts 103
40 and 41. To show the relation of basic fractures to the petrous bone 104, 105
42. A comminuted fracture of the skull 112
43 A and B. An explosive fracture of the vault of the skull 113
44. A temperature chart illustrating the changes in temperature observed in head-injuries 117
45-48. Intermusculo-temporal cerebral decompression 122, 123
49 A and B. The elevation of a depressed fracture of the vault 131
50 A and B. The inner aspect of the skull and the same seen on transillumination 137
51. To illustrate compression of the brain as produced by an extra-dural hÆmorrhage from the middle meningeal artery 141
52 A and B. The operative treatment of middle meningeal hÆmorrhage

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