A successful case of removal of a large brain-tumor from the left frontal region : opening and packing of the lateral ventricle with iodoform-gauze / by H.M. Thomas and W.W. Keen.

  • Thomas, Henry M.
Date:
1896
Catalogue details

Licence: Public Domain Mark

Credit: A successful case of removal of a large brain-tumor from the left frontal region : opening and packing of the lateral ventricle with iodoform-gauze / by H.M. Thomas and W.W. Keen. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

    16/22 (page 14)
    to Flechsig's anterior association-centre. In this region, although no projection-fibres reach the cortex, a band of such fibres does run in the white matter of the lobe, and, turning back, enters the cortex of the somatic sense-area (korperfiihlsphare), which includes what we commonly know as the motor area of the cortex. It may be that it is the involve- ment of this tract which is the cause of the motor symptoms, the paresis^ and the ataxia. Flechsig has demonstrated that the cortex of the lobe itself is in connection with the olfactory centre and with the somatic sense-area, and probably with the other sense-centres, and he believes that we have stored here the memories upon which the idea of individuality of the person depends. It will be seen that the views of Bianchi and Flechsig in regard to the function of the frontal lobe agree fairly well. Remarks by Dr. Keen. Size and Weight of the Tumor. The present tumor is the second largest I have ever removed. The largest and my very first modern brain-operation was done on December 15, 1887 ; therefore, nearly nine years ago (The American Journal of the Medical Sciences, Octo- ber, 1888). That patient I saw recently. His appearance two years ago[is seen in Fig. 5. His eyesight is quite imperfect. His epileptic attacks occur at intervals of about a year. He is still, however, very nervous and unable to do any work, Fig. 5. Result seven years after the removal of a large fibroma of the brain. In that case the tumor, a fibroma, measured two and seven-eighths by two and one-half inches and one and three-quarters inches in thickness, and weighed 3 ounces and 49 grains. The preseut tumor, therefore, is