The vascular aspects of head injuries / Hugh Cairns.

  • Hugh Cairns
Date:
1942
Catalogue details

Licence: Public Domain Mark

Credit: The vascular aspects of head injuries / Hugh Cairns. Source: Wellcome Collection.

    11/40 page 383
    Fig. 3 Ho continued in an unconscious state until June 2-3, when he could be roused a little. There is no record of any neurological signs other than a «partial third nerve palsy» on the left side 1 (ptosis, divergent squint, and a sluggish pupillary reaction to light) until June 26, 9 days aftei injury, when he suddenly developed a flaccid right hemiplegia, with a fixed and dilated left pupil. His pulse rate rose to 140, his temperature to 102.8° and he became once more comatose. The case was regarded as one of cerebral thrombosis. His pulse and temperature remained high for 8 days, but by June he was «showing glimmerings of understanding, but no speeeh». His he¬ miplegia persisted and he began to develop contractures of the right arm and leg. He was throughout incontinent of urine and faeces. Decubitus ulcer ensued, and he became extremely emaciated. His temperature anc pulse remained unstable, with peaks of temperature to 101° and an average pulse rate of 110. When he came under our care on October 11, 1941, he was extre¬ mely wasted, incontinent of urine and faeces, and had a large m 0 en sacral bed-sore. He was apathetic and had an almost complete aphasia of global type. There was a scar 3 cms. long over the outer half of his left supraorbital ridge. X-rays showed a fissured fracture of the e frontal bone involving the frontal sinus; his right pupil was larger t the left, although both reacted well to light and to accommo a ion.
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