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
_The cranial cavity._—For the examination of this part _Dr. Hutchinson_
has given us some very minute and valuable instructions, of which we
shall avail ourselves. The cranial cavity, he observes, should be
exposed, by making, in the first instance, an incision through the
integuments of the skull, penetrating to the bone, from the root of the
nose to the spinous process of the second or third cervical vertebra;
another incision of the same kind should extend from one ear to the
other, passing transversely over the summit of the head. Each of the
four triangular portions of integuments thus formed, should then be
detached from the cranium, beginning at their apex and terminating at
their base. The temporal and occipital muscles should then be separated
in a similar manner. After examining the state of the cranium, the bones
may be removed by dividing the membranous connection between the
parietal, frontal, temporal, and occipital bones, with scissars. This,
however, should be done without lesion of the vessels of the brain, or
of the venous sinuses; in order to avoid the lateral sinus which always
contains fluid blood, and which is situated very near the mastoidean
angle of the parietal bone, _Dr. Hutchinson_ directs the anatomist, when
the point just indicated is approached, to deviate a little from the
membrane, and to cut the parietal bone itself near its margin. In the
first place, the view of the brain will afford presumptive evidence of
its age; previous to the termination of the sixth month it will appear
as a soft mass, equally white throughout its whole extent; in the eighth
month the cerebral substance will have acquired more consistence, its
interior will present a reddish colour, although its surface still
remains white. The _pia mater_, which in the earlier stages seemed only
to be over its surface, will now be found adherent to it; and some of
those grooves and undulations become apparent, which afterwards
constitute the circumvolutions. In pursuing the dissection of the brain,
the practitioner must be careful in noting every morbid appearance, such
as congestions, extravasations, &c., for the cause of death may have
arisen from the injured structure of these parts.
C. _The character of the spot in which the body was found_ will often
afford presumptive evidence of considerable weight, but in availing
ourselves of its indications, we must cautiously avoid the fallacies to
which it may give origin; to some of which we shall have occasion to
refer at a future period of the investigation. We next proceed to the
consideration of the several problems involved in the second division of
our inquiry, viz.
II. _Whether, supposing the child to have been born alive, its death was
the result of natural causes, of wilful violence, or of negligence and
abandonment?_
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