Medical Jurisprudence, Volume 3 (of 3) — John Shaqi
Medical Jurisprudence, Volume 3 (of 3)Paris, John Ayrton
Science
Medical Jurisprudence, Volume 3 (of 3)
Paris, John Ayrton
Medical laws and legislation -- Great Britain
concur, but it is not equally clear that the crisis was not accelerated
by the violence which he had sustained.[28]
We ought not to quit the examination of the head, until we have examined
the base of the cranium, in order to determine whether any fracture
exists in that part; a curious case is related by _Mr. Charles
Bell_,[29] of a person who died suddenly some weeks after having
received an injury of the head, when it appeared, on dissection, that
the base of the skull had been fractured, and that the _foramen magnum_
having been thus roughened, a sudden turn of the head had forced a
spiculum of bone into the spinal marrow. The brain has also received
fatal injuries from the introduction of pointed instruments through the
orbits; _Macklin_, the comedian, was tried for killing a brother actor
by the thrust of his cane. _Thomas Dangerfield_, one of the celebrated
and perjured witnesses on the Popish plot, in the reign of Charles II,
was killed by _Mr. Robert Francis_, by the blow of a cane, the end of
which penetrated the orbit.[30] The author also well remembers the case
of an old woman, who, in a fit of intoxication, fell to the ground upon
the stem of the tobacco-pipe with which she was smoking, when it
penetrated the orbit, and occasioned immediate death; the cause of her
dissolution was never suspected until after dissection, as no external
wound was visible. In some cases it may be considered expedient to
extend our anatomical researches into the spinal column, which may be
effected by sawing off the transverse processes. The cervical vertebræ
should always be examined where dislocation of the neck can be
suspected; for in such cases death may be produced without leaving any
external vestige of the injury. This has frequently occurred to coachmen
and others, who have been crushed while driving under low archways, by
which the nerves, necessary for the support of the vital organs have
been compressed or lacerated, and death has in consequence ensued. If
the cervical vertebræ should be dislocated, a general paralysis will
follow, and life can no longer be maintained. _M. Petit_ relates the
case of a boy suspended by the head, who striving to disengage himself
dropped down dead; and _Dr. Monro_ saw a case where four of the cervical
vertebræ were dislocated by a fall, which ended fatally in a few hours.
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