Surgery.

Date:: [1913]

Catalogue details

Licence: In copyright

Credit: Surgery. Source: Wellcome Collection.

337/412 (page 305)

(6) Cerebral vessels, most commonly the middle cerebral. The blood either presses upon the cerebral cortex, or pours into the lateral ventricles. (c) Venous sinuses. Give the Clinical Features of Meningeal Hcemorrhage. (а) Concussion. (б) Return of consciousness. (c) Signs of irritation. (d) Return of unconsciousness. (e) Full pulse becoming progressively slowed. (/) Progressive rise in blood pressure. (g) Respirations at first slow and deep, later shallow. (h) The pupil shows the following changes :— Pupil on side of lesion. Opposite pupil. (i) Contracted and reaction sluggish. Normal. (ii) Slightly dilated, no re- Contracted and reaction action. sluggish. (iii) Dilated and fixed. Slightly dilated, no re- action. (iv) Do. Dilated and fixed. (i) The muscles show the following stages :—(i) irritation of the muscles on the opposite side to the lesion, (ii) paralysis of muscles on opposite side and irritation of those on the side of the lesion, (iii) paralysis on both side?. The lesion must be diagnosed before the late stages for treatment to be successful and this consists in craniotomy, removal of clot and control of the haemorrhage. Describe Intra-cranial Hcemorrhage of the Newly Born. Occasionally in first-born children, usually of the male sex, a haemorrhagic extravasation occurs in the sub- arachnoid space of the vertex. The blood is probably derived from two sources (a) rupture of small venules owing to partial asphyxia, and (6) tearing of the minute tributaries s