Reviews and Notices of Books

1868 The Lancet  
195 having been fractured by the blow causing the accident on the supposition that the head must rather have been violently pushed aside than directly struck; and he alluded especially to the interesting physiological phenomena announcing temporary pressure or injury of the spinal marrow-namely, the difficulty of breathing, the exalted sensitiveness of the scalp and integuments of the neck, the general numbness, incomplete palsy of the right arm, and ptosis of the right eyelid, all of which
more » ... toms gradually disappeared, leaving the patient free from any trace of injury, eleven weeks after the accident. The PRESIDENT said that he wished to encourage the reading of single cases, and remarked on the value of the present one as bearing on the question of cutting down and trephining the vertebræ in fractutc or dislocation. Dr. INGLis narrated a case he had seen in Australia. A boy was thrown against a tree; he remained insensible for some weeks, and when seen by him certain of his vertebras seemed to be slightly displaced. When he tried to twist his neck he fell down in a convulsion. He only saw him once. Mr. HoLMES remarked that the evidence as to displacement in the case before them was rather weak. He had seen one where the last dorsal was separated from the first lumbar vertebra. No great force was needed for their reduction, but the patient died of gangrene. He held to extension, rather than to operation. The PRESIDENT said his observations applied rather to cases of fracture than to those of dislocation.
doi:10.1016/s0140-6736(02)55842-6 fatcat:p3wbrc2uozeyzastudcz74mrby