Reviews and Notices of Books
A MEETING of this Society was held on Thursday, Dec. 6th, the President (Dr. Murphy) in the chair. Cases of Trephining.-Dr. ARNISON exhibited a boy trephined for injury. He had made a good recovery, but has since the accident remained blind in the right eye. He also exhibited a young policeman who, as the result of a blow on the head from a stick, had an acutely depressed fracture. A disc of bone had been removed and the fragments raised.-Dr. HUME exhibited a lad upon whom " secondary
... " had been performed. A short time after the operation paralysis of the right arm supervened. The lad ultimately recovered.-Dr. DRUMMOND raised the question as to advisability of trephining in epilepsy when there were no signs of organic disease and yet with a well-defined and localised aura.-Dr. CHARLTON BASTIAN, in reviewing the various causes of epilepsy, said he would not recommend trephining unless there was evidence of the epilepsy being due to organic disease of the brain, the symptoms and localisation of which were perfectly unmistakable. He then discussed the subject of the physiology of the cortical motor areas, showing how he regarded them as being c, sensory as well as motor.-Dr. OLIVER, partly supporting Dr. Bastian's views as to the sensori-motor function of the so-called cortical motor areas, alluded to the continued good health of a boy previously under his care who had been trephined two years ago by Dr. Hurne. Subelavian Aneurysm.-Dr. OLIVER exhibited a man the subject of subclavian aneurysm, in whom, as the result of pressure of the sac, the right arm was completely paralysed and rapidly emaciating. The usual signs of aneurysm were present. Iodide of potassium had relieved pain. He considered amputation at the shoulder joint out of the question, and said that he was inclined to try galvano-puncture. -Professor ANNANDALE recommended amputation, division of the clavicle, and tying the two ends of the vessel.-Mr. WILLIAMSON discouraged such a severe surgical procedure. Hysterical Pyrexia.-Dr. DRUlVIMOND, in the absence of the patient, presented charts which showed a temperature of T.08° on one side of the body, and at the same time 98° on the opposite side.-Professor PHILIPSON remarked upon a case he exhibited, where the highest temperature was 117°.-Dr. GIBSON discussed and offered an explanation of the xelationship of high temperature to hysteria. Remarks were also contributed by Drs. Mantle and Murphy. The following specimens were exhibited :-Professor PHILIPSON : Heart, Spleen, Brain, and Kidneys, from a case of Multiple Embolism. They had been removed from a woman aged thirty-four, who four months previously had aborted. Endocarditis of a rapidly advancing character had been detected during life, as also infarctions. There was left hemiplegia. The Sylvian artery on the right side was found blocked. Dr. MURPHY : Tumours removed from a young girl aged sixteen, in a case of Sarcoma of Ovaries. Both ovaries were affected.-Removal of the Stomach and (Esophagus in a case of Gastrostomy. The man had lived 402 days. Dr. GOWANS: Scirrhus of Breast, removed from a girl aged thirteen; and a Fibrous Tumour of the Lower Jaw. Dr. DUGGAN: Aneurysm of Thoracic Aorta. During life the whistling systolic murmur was audible before the patient was closely approached. Professor ANNANDALE read a paper on Intubation of the Larynx and Air Passages," alluded to the advantages claimed for the operation as well as its disadvantages. He exhibited O'Dwyer's apparatus, and spoke hopefully of the operation. THIS Society met on Nov. 28th, Mr. Stuart Nairne, President, in the chair. Dr. W. L. REID showed a Myomatous Polypus recently removed with the galvanic ecraseur. The cervix had about a month earlier been split and the os internum dilated. The myoma then became polypoid spontaneously. Dr. M. CAMERON exhibited an Umbilical Cord with a tight knot, which was supposed to have caused the death of the fcetus. Dr. G. A. TURNER showed a Cord knotted in two places, one of the knots being very complicated. Dr. LAWRENCE OLIPHANT exhibited Twin Cords knotted together in two places. A small committee was appointed to investigate this curious case, as the children were born in the street, on the patient's way to hospital, ivhere the placenta was delivered.-Some discussion followed, and most members of the society thought that true knots on the cord were very much less common than they are said to be in the text books. Dr. G. A. TURNER described a Child born with Flail-like Knee Joint. No surgical injury could be detected, and the condition had now, six weeks after birth, almost entirely disappeared. The PRESIDENT then delivered an address on " Lessons in Oophorectomy." He gave an abstract of the results of fifty consecutive cases, and described several cases and his methodus operandi in detail. He removed only the diseased ovary, and in some cases merely punctured small cysts with the knife, and dropped the ovary back into the abdomen. He promised full details of all his cases on an early occasion.