The side of the head and
the ear were considerably lacerated; several teeth were broken,
and besides this there was injury to the aura and cerebral
substance. There was profound coma for ten days and paralysis of
the 1st, 2d, 3d, 4th, 6th, and 7th cranial nerves, particularly
affecting the left side of the face. There was scarcely enough
blood-supply left to the orbit to maintain life in the globe. The
man primarily recovered, but ninety-one days from the injury he
died of cerebral abscess.
There is the record of a curious brain-injury in a man of
twenty-two, who was struck on the skull by a circular saw. The
saw cut directly down into the brain, severing the superior
longitudinal sinus, besides tearing a branch of the meningeal
artery. The wound was filled with sawdust left by the saw while
it was tearing through the parts. After ordinary treatment the
man recovered.
Bird reports a compound comminuted fracture of the left temporal
region, with loss of bone, together with six drams of
brain-substance, which, however, was followed by recovery. Tagert
gives an instance of compound depressed fracture of the skull,
with loss of brain-substance, in which recovery was effected
without operative interference.
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