A practical guide for making post-mortem examinations : $b and for the study of morbid anatomy, with directions for embalming the dead, and for the preservation of specimens of morbid anatomyThomas, A. R. (Amos Russell)
Science
A practical guide for making post-mortem examinations : $b and for the study of morbid anatomy, with directions for embalming the dead, and for the preservation of specimens of morbid anatomy
Thomas, A. R. (Amos Russell)
Anatomy, Pathological; Autopsy -- Handbooks, manuals, etc.
The calvarium having been removed, and the superior longitudinal sinus
opened, and the condition of its contents noted, the dura mater, after
its careful examination, may be cut through with the knife or scissors
in the line of the division of the bone. The membrane may now be lifted
up, when adhesions will be found between its under surface and the pia
mater, along either side of the falx cerebri. These should not be
mistaken for results of inflammation, as they sometimes are, they being
simply the points of entrance of the veins of the pia mater into the
superior longitudinal sinus. These having been divided, with the falx
near its attachment to the crista galli, the whole may be turned back,
exposing the brain.
To remove the latter, take away the block from beneath the head, and
lifting the anterior lobes of the brain, divide successively the several
pairs of nerves as they appear in sight, with also the tentorium on
either side, and as the brain falls back into the left hand, the knife
may be passed down into the foramen magnum, and the medulla oblongata
and vertebral arteries divided, when the whole may be lifted from its
position. More or less blood with the _cerebro-spinal fluid_ will
necessarily flow off during this operation, to secure which, a bucket
should be placed beneath the edge of the table, over which the head
should slightly project. In dropsy of the brain, although the fluid is
mainly in the ventricles, it may escape during the operation and be
caught in the same manner.
The external surface of the brain having been carefully examined, the
hemispheres may be sliced off to a level with the corpus callosum, when,
by removing the latter, the cavities of the lateral ventricles will be
exposed. After a careful inspection of the several objects seen here,
the fornix and velum interpositum may be removed, opening thus into the
third ventricle. Slices may now be taken off the corpora striata and
optic thalami, with deeper portions of the hemispheres, and sections
made of the crura cerebri cerebellum and medulla oblongata, thus giving
an opportunity of judging of the condition of all those parts.
After the removal and examination of the brain, attention should be
given to the _base of the skull_. The lateral and other sinuses should
be laid open, the dura mater, as far as possible, torn away, and the
bones examined for fractures, caries, abnormal growths, etc.
Public-domain text, read in full here on John Shaqi.
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