Image from page 30 of "Brain surgery" (1893)
Title: Brain surgery
Publisher: New York, Wood
Contributing Library: Yale University, Cushing/Whitney Medical Library
Digitizing Sponsor: Open Knowledge Commons and Yale University, Cushing/Whitney Medical Library
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Glabella Fig. (L— Diagram Showing the Measurements Required to Determine the Positionof the Fissures of Rolando and Sylvius. of cases of brain disease can any operative interferencebe considered with favor. Operations may be performed for the relief of epi-lepsy, for the cure of imbecility, for the removal ofclots, for the opening of abscesses, for the excision oftumors, for the relief of intracranial pressure—withor without drainage of the lateral ventricles—and forthe cure of traumatic insanity. In the following THE DIAGNOSIS OP CEREBRAL DISEASE. 15 chapters each of these conditions will be discussed, thepathology of the disease being especially considered,and the results of operations hitherto done being fullydescribed. Cranio- Cerebral Topography. The fact that the brain may be exposed for the re-moval of diseased parts in appropriate cases has made
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Fig. 9.—The Guiding Lines of Reid and the Relation of the Chief Convolutions to theni. it necessary to ascertain the relation of its differentfissures and convolutions to the cranial sutures, or tocertain landmarks upon the surface of the head. Theserelations are well shown in the figure (Fig. T), whichis a photograph of a cast of a head made immediatelyafter death by Dr. Cunningham, of Dublin.1 Numer- 1 See Dublin Journ. Med. Sc, 1888, p. 157. For an opportunityof photographing this cast I am indebted to Dr. F. Ferguson, Cura-tor of the Museum of the New York Hospital. 16 BRAIN SURGERY. ous rules have been laid down for the determinationof the location of various parts of the convex surfaceof the hemisphere upon the head. The most impor-tant are the following, which may be compared withthe diagram (Fig. 8), and with Reids figures (Fig. 9).
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