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Article
April 4, 1896

THE USE OF GOLD FOIL IN FRACTURES OF THE CRANIUM AND RESULTING HERNIA CEREBRI.

Author Affiliations

CHIEF SURGEON, L. V. RY., SO. BETHLEHEM, PA.

JAMA. 1896;XXVI(14):661-663. doi:10.1001/jama.1896.02430660013003c

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Abstract

The three cases related in this paper are offered as illustrations of a slight advance in hetero-plastic attempts, and are unique in that they were done on the contents of the cranium, and not on the cranial walls themselves. The nearest approach I have found to the attempts I have made were by Weir, of New York, and to his pioneer work in usuing gold foil to prevent adhesion of the dura to the cranial bones after serious fractures and removal of pieces of bone from the cranium, I have extended the use of the foil in one case to plug up the cavity in the cerebrum itself, and in two other cases to replace destroyed dura—not with the idea or indication of preventing adhesion but of replacing the obturator function of the lost membrane, and so prevent a further escape of cerebral tissue and subsequent development of a hernia

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