The Surgery of the Skull and BrainRawling, Louis Bathe
Science
The Surgery of the Skull and Brain
Rawling, Louis Bathe
Brain -- Surgery; Skull -- Surgery
---------------+-----------------+-----------------+------------------
| BRAIN ABSCESS | MENINGITIS | LATERAL SINUS
| | | THROMBOSIS
---------------+-----------------+-----------------+------------------
_Onset_ | Insidious. | Acute. | Acute.
| | |
_Temperature_ |Subnormal (see p.|First a rigor, |First a rigor,
|255). |then high and |then high and
| |continuous |continuous
| |temperature, |temperature,
| |usually |usually remittent.
| |intermittent. |Frequent rigors.
| | |
_Pulse_ |Slow (see p. | Rapid. | Rapid.
|255). | |
| | |
_Mental |Often apathetic. |Very restless and|In the early
condition_ |In the later |delirious. |stages, the mind
|stages, stupor |Sometimes |is clear. This
|and loss of |maniacal. Coma |condition may
|consciousness. |towards the end. |persist till near
| | |the end when
| | |delirium and coma
| | |become evident.
| | |
_Special |Paresis or |Squints, |Œdema over
symptoms_ |paralysis, |retraction of the|mastoid, pain
|according to the |head and neck. |along course of
|site of the |Irregular |internal jugular
|lesion. |palsies. |vein. Enlarged
| | |cervical glands.
| | |
_Blood and |Progressive |Increased |Blood infection
cerebro-spinal |leucocytosis. |leucocyte count |frequent.
examination_ |Increased |and organisms in |
|leucocytes in |fluid withdrawn |
|cerebro-spinal |by lumbar |
|fluid. |puncture. |
---------------+-----------------+-----------------+------------------
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