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Common experience, as well as the literature of surgery, teaches that wounds involving the brain heal readily when secondary inflammation does not take place, and because of the risk in this direction a prognosis must always be unfavorable, though many cases are on record after wound of this organ in which there was full recovery.
From punctured fractures of the skull involving the dura mater there is equal danger, because the dura is very sensitive and the projecting spiculæ irritate the brain at its every pulsation, and from this source there is inflammation of the meninges and death as a consequence. The surgeon usually makes as early efforts as possible for the removal of this foreign body, knowing the longer it remains the greater is the danger from the inflammation spreading along the cellular tissue which surrounds the branches of the meningeal arteries, and by this means reaching the base
PEYTON JF. REPORT OF A CASE OF CEREBRAL CYST. RECOVERY. Read in the Seclion on Surgery and Anatomy, at the Thirty-ninth Annual Meeting of the American Medical Association, May, 1888. JAMA. 1889;XII(3):88–89. doi:10.1001/jama.1889.02400800016001f
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