Catalogue of the Pathological Museum of St. George's Hospital / edited by John W. Ogle and Timothy Holmes.
- St. George's Hospital (London, England). Pathological Museum.
- Date:
- 1866
Licence: Public Domain Mark
Credit: Catalogue of the Pathological Museum of St. George's Hospital / edited by John W. Ogle and Timothy Holmes. Source: Wellcome Collection.
Provider: This material has been provided by Royal College of Physicians, London. The original may be consulted at Royal College of Physicians, London.
17/896 page 11
![SKIUKS 1.] observed traversing the right parietal bone from before backwards. At the anterior inferior angle of each parietal bone, the end of the coronal • suture was a good deal separated, and this separation communicated with a fracture in each temple across the squamous suture. The temporal bone was separated at its suture in the basis, and the sella turcica was fractured, so that the injury had separated the skull into two portions perpendicularly. A great deal of blood was found beneath the scalp, along the coronal suture and below the fracture, especially in the temples. Some blood was also found in the fractured sphenoid bone, and in the nasal cells, as well as below the dura mater, on the surface of the left hemisphere. There was a good deal of injury of the surface of the brain at the bottom of each hemisphere, especially of the left, and a little also of the cerebellum. No blood was etfused in the inteidor of the brain. The patient was admitted into the Hospital in a state of insensibility, with paralysis chiefly of the left side, and great efiusion of blood outside the skull. Great excitement and stertor soon came on. An incision having been made on the right side of the head, over the middle meningeal artery, fracture with depression of the parietal bone was detected. The trephine was applied so as to raise the bone and give exit to the blood below; the meningeal artery was found bleeding, and was tied on the dura mater by a needle, just where it had been opened by the sharp end of the broken bone. No relief being afforded, an incision was made in nearly the same situation on the left side, where also fi-acture was found; but the strength failing, nothing further was done. The patient died three hours afterwards. The accident was produced by a heavy stone falling on the top of his head and knocking him off a scaffold about flve feet high. Presented by C^sar Haavkins, Esq. 15. The Vertex of a Skull. About the centre of the left parietal bone an oval-shaped fracture is seen, the length of the portion of bone included in the fractured space being about two inches and a half, its breadth two inches. This fracture appears to extend only through the outer table. Running along the centre of this space is a second fracture, of a spiral form and about two inches in length, comminuted behind, and traversing both tables: the margins of this fracture are de- pressed, the depression being greater in front, Avhere another fracture marks off a small triangular portion of bone, still more depressed tlian the other fractured portion. A part of the bone has been removed by tlie trephine. The dura mater corresponding to the situation where the trephine had been applied was found covered with granulations, and in one part in a sloughy condition, with an opening in the mem-](https://iiif.wellcomecollection.org/image/b24758292_0017.jp2/full/800%2C/0/default.jpg)
