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June 18, 1887

TREPHINING IN A CASE OF INTER-MENINGEAL HÆMATOMA, WITH HEMIPLEGIA. RECOVERY.Read in the Section on Surgery and Anatomy, at the Thirty-Eighth Annual Meeting of the American Medical Association.

JAMA. 1887;VIII(25):679-681. doi:10.1001/jama.1887.02391500007002a

In presenting to this Section the history of a single case, it is hoped that the interest attached to the subject of cerebral localization from a surgical stand-point, as well as the comparative rarity of recorded operations for the conditions herein reported, will prove to be sufficient excuse for soliciting your indulgence.

Case.—George Jones, negro, aged 53 years, a native of Virginia, shoemaker by occupation, on February 27, 1887, was struck on the left forehead by a brick, the edge of the missile producing an irregular, lacerated wound, about one-half an inch above the external edge of the eyebrow. He was unconscious for a short time; cold water dressings were applied to staunch the hæmorrhage from the wound, and he was put to bed.

I was called to see the patient on the morning of February 28, and found his general condition good, but the wound unpromising on account of