Surgical diagnosis / by Daniel N. Eisendrath ... with four hundred and eighty-two illustrations, fifteen of them in colors.

  • Eisendrath, Daniel N. (Daniel Nathan), 1867-
Date:
1907
Catalogue details

Licence: Public Domain Mark

Credit: Surgical diagnosis / by Daniel N. Eisendrath ... with four hundred and eighty-two illustrations, fifteen of them in colors. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    alhematoma, and, in the absence of the history, a fracture might be thought of. The hmitation of the swelhng by the sutures, the distinct fluctuation to be obtained, and the fact that pressure does not reveal any defect in the skull or cause any cerebral symptoms, enable one to exclude a fracture. A cephalhematoma may at times occur without the history of injury in scorbutic and rachitic children, and be mistaken for an abscess following tuberculosis of the cranial bones. It would seem advisable in connection with the subject of cephalhematoma in infants and young children to call at- tention to a swelling which may produce a considerable elevation of the overlying intact scalp. This swelhng follows an injury to the scalp and skull in children in the first three or four years of life, and is called traumatic cephalhydrocele (Fig. 3) or meningocele spuria trau- matica. The injury may have been accompanied by symp- toms of cerebral concussion or contusion, but at times cases present themselves years after such an injury, or the latter has been so insignificant that no importance is ascribed to it. Such swellings may appear over any part of the vertex of the skull, and are due to the accumulation of cerebrospinal fluid between the scalp and the skull, which has escaped through an opening following a fracture. These swellings have, as a rule, a pulsation which is synchronous with that of the heart, but cases have been recorded where there is no pulsation. The swelhng can be reduced, and when this is done, the edges of the skull opening can be felt. Often such a reduction causes compression symptoms. These spurious or false meningoceles must be differentiated from the follow- ing conditions: I. Deep cavernous angiomata. These may show distinct fluctuation ^ .^^^^^m^ ^ ^1 f ^K^- -^ 1 j|LjHH|^||QgEgM| 1 1 1 1 Fig. 2.—Cephalhematomata of Newborn Child. I, Hematoma over right parietal bone; 2, hematoma over left parietal bone.