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In view of the great apparent progress in cranial surgery, in many forms of disease as microcephalus, idiocy, hydrocephalus, tumors, compression, clots of blood, cases where a transmutation of structure may take place, viz., hyperplasia of connective tissue, neuroglia of Virchow or glioma, I report a case to show what may be accomplished in the earlier stages of severe injury in aid of a final recovery. We must in some degree comprehend the structure and anatomy of the relations of the brain, how protected by its membranes, its bony case, its supply of blood within and without, the sources of blood supply internal and external; and comprehend the dilatation and contraction of the vessels under vasomotor influence, the reflex irritation upon vessels, the difference of cause in coma of compression and cause of irritation which may be reflex or direct, the relation of blood supply to connective tissue, before we
HAUGHTON RE. THE SURGICAL TREATMENT OF INJURIES OF THE HEAD. TREPHINING FOR CLOT AND PRESSURE SYMPTOMS—NO FRACTURE. JAMA. 1895;XXIV(7):237–240. doi:10.1001/jama.1895.02430070013001d
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