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July 20, 1895

Treatment of Hernia Cerebri.

JAMA. 1895;XXV(3):121. doi:10.1001/jama.1895.02430290039010

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Coronado, Cal., July 6, 1895.

To the Editor:  —Moved by a very interesting and instructive paper, recently published in the Journal, on brain surgery, in which Volkmann's treatment of fungus cerebri by the curette is mentioned, I wish to report a case successfully treated, in my first year of practice, by a different process.In July, 1838, my father (University of Pennsylvania, 1809) was called several miles in the country to a child about 3 years old, who had been kicked by a horse, and I went with him. We found a tumor over the left parietal, the child in deep stupor, and other indications of compression. The knife was given to me and I made a crucial incision, brain and clots of arterial blood following the knife. The dura was much torn and was trimmed after eleven pieces of bone were removed. Fearing erysipelas few sutures were used and

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