A case of intra-cranial injury with extensive destruction of brain substance about the rolandic area and loss of the so-called muscular sense / under care of J. Cooke ; report with observations and comments by G.L. Laycock.

Cooke, J.

Date:: [1893]

Credit: A case of intra-cranial injury with extensive destruction of brain substance about the rolandic area and loss of the so-called muscular sense / under care of J. Cooke ; report with observations and comments by G.L. Laycock. Source: Wellcome Collection.

Provider: This material has been provided by King’s College London. The original may be consulted at King’s College London.

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$A CASE OF INTRA - CRANIAL INJURY, WITH EXTENSIVE DESTRUCTION OF BRAIN SUB- STANCE ABOUT THE ROLANDIC AREA, AND LOSS OF THE SO-CALLED MUSCULAR SENSE. [With Phototype.] Under the care of J. Cooke, M.R.C.S. Eng. Hon. Surgeon to the Alfred Hospital. Report, with Observations and Comments, by Gf. L. Laycock, M B., CM. Edin. Hon. Medical Electrician to the Alfred Hospital. Hon. Medical Officer to the Out-patients' Department, Children's Hospital, Melbourne. A. A., 29, single, above the average in strength and robustness, with a history of perfect health, except an attack of influenza and two accidents to the leg and ankle respectively, was admitted to the Alfred Hospital suffering from a compound comminuted fracture of the skull. The history, for the surgical aspects of which I am indebted to Dr. F. S. Crowther, Resident Surgeon, is as follows :—On 24th February last, while the patient was cutting down a tall gum tree, a branch about the thickness of a man's arm fell from the height of about 100 ft. on his head. The patient was standing firmly in position for swinging his axe, and the falling branch meeting what was practically a rigid body, simply crushed in the skull, just behind the right parieto-frontal suture. The patient was admitted to the hospital next day, and was placed under the care of Mr. J. Cooke, Honorary Surgeon. He was then unconscious, with great restlessness and delirium. The right eye was contused, the pupils were equal, and there were left hemiplegic symptoms. The vertex was extensively fractured, and in the wound there were pieces of bone and brain substance. Mr. Cooke cut down over the wound and removed ten pieces of bone, the gap in the cranium being an irregular oval measuring four by three inches. He explored the$