Indications for operation in disease of the internal organs / Authorized English translation by Keith W. Monsarrat.

  • Schlesinger, Hermann, 1866-1934.
Date:
1906
Catalogue details

Licence: Public Domain Mark

Credit: Indications for operation in disease of the internal organs / Authorized English translation by Keith W. Monsarrat. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    Consequences of operation when the diagnosis is at fault.— Operation is always serious, and may be fatal, but the risks of operation are in most cases not so great that they should be allowed to weigh against intervention ; the prognosis of abscess is too absolutely unfavourable to allow them to do so. Operation may give rise to traumatic spreading encephalitis, serous meningitis, or hernia of the brain. LITERATURE. Oppenheim.—Hirnabscess. Nothnagel's Handbuch d. spez. Pathol. Macewen. Pyogenic Infective Diseases of the Brain and Spinal Cord. 1893. GowKRS.—Diseases of the Nervous System. Vol. ii. KoRNER.—Die otitischen Erkrankungen des Hirnes, der Hirnhaute. und der Blutleiter. 3rd Ed., 1902. Dreyfuss.—Die Krankheiten des Gehirnes u. seiner Adnexa im Gefolge V. Naseneiterungen. 1896. Dreyfuss.—Rhinogene Gehirnaffectionen. Zentralb. f. d. Grenz- gebiete d. ]Med. u. Chir. 1898, p. 193. Henschen.—Hirnabscess. Handbuch d. spez Therap. heraus- gegeben. von Pentzoldt-Stintzing. 3rd Ed. SINUS THROMBOSIS AND SINUS PHLEBITIS. Etiology.—-Sinus thrombosis may arise from several causes. Thrombi may form in the course of some prolonged and exhausting affection of different organs ; from encroach- ment on or compression of the sinus by a new growth ; from the spread to the sinus of some inflammatory process of the face and head ; from otitis media and caries of the temporal bone ; from some general change in the condition of the blood. Thrombosis of the lateral sinus complicating middle-ear and mastoid disease will chiefly engage our attention. Pathological Anatomy.—The thrombus may be local, or involve the greater part of the sinus, the latter especially in the case of the longitudinal sinus. The inflammatory thrombi are found in the neighbourhood of the primary focus ; thus, in ear affections the lateral sinus is attacked, in diseases of the orbit the cavernous sinus. The thrombosis is set up either by spread of the inflammatory process to the wall of the sinus, by compression of the latter, or by direct extension through