Page:Science vol. 5.djvu/340

 Flulirer proceeded wltli liU attempt to follow Uie course of the ball with tlio probe. The pallenfs bead wag now placed in such a position that the pre- sumed track of the ball was perpendicular to the liorizoD. A perfectly straight Nelatoii's probe was then passed perpendiculnrly into the brain to a depth of about six iticbes. when a soft realatani^e was felt, which no effort was made to overcome. The depth to which the probe bad passed supported the hypolh- eais that the ballet had gone cumplel^ty through the brain, nnd bad struck the opposite side of the skull. In order to ascertain the probable locality of Ihe im- pact, the probe was left standing in the brain, and ihe point on the back of Iliehead was noted at which the probe would emerge if projected tlirougli the brain. This was presumed to be the point of interior tmpact. An openii g was then made In the skull at a point three-quarters of atx inch lower down li llie supposed plane of the path of the bullet, and the mem lirane covering the brain was carefully silt so as to ndmit the end of the index finger. A resistai ce was fell in the 1<rain at the depth of about half an inch which was believed to be the bullet. Instead of ex ploring Ellis n'slslance with a needle. It was decided lo continue the opeiiins in the skull upwnnis uiit 1 the point of impatt was reached, and tlien extract the bullet through the upeningithad itself made This was successfully ac com pushed.

The patient's head was ''"=

then plnce<l in the same

position as at Grst, and Ihe prol)G was again Intro- duced through the opening in the forebeiid, and, as before, It encountered a soft resistance at about the depth of six inches. Leaving the probe standing upright, the finger was carefully introduced into the brain from the opening at the back of the skull, and the discovery was made that the obstruction to the passage of the probe waa due to the dura maler alone. This was remedied by slitting the tnenibrane, und the end of the protie then appeared at the opening in the hack ot the head. A small-sized rubber tulie was attached Ui this end, and drawn through the brain by the removal of the probe. The tube was left In the brain for drainage- purposes, and the patient's wounds were then dressed.

The o|«ratiDn, wlilch had been conducted through- out with antiseptic precautions, was completed in about four hours from its commencement, the greater portion of the time having beuu »peut in stopping the cerebral keniurrhage.

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���NCE. IVoL. v.. No. 11*.

In addition to Dr. William F. FluUrer, the follow- ing members of the house staff were present, and wiincseed the operation: Drs. R. T. Morris, J. R. Conway, jun., W. W. French, J. H. Woodward, H. N. Williams, P. Oppenlieimer, H. S. Wildman, H. Herman, n. Biggs, E. Hurd, C. F. Hob«r«, and W. G. Rutherford.

On May 22, IS84, Dr. Fluhrer eibiblted Knorr at Bellevue hospital to a number of physicians. He was then, so far as could be judged, in perfect health. Apart from the scars upon the patient, the only ab- normality discoverable was a limitation of the visual field for green and red, observed by Dr. W. F. Mil- tendorf. Inasmuch as this feature was common to both eyes, it is questionable wlietber It was eau»ed by the Injury.

Tbe engraving, fig- 2, i* from a photograph of the Tlie ligbt line marks tb^ pns lion of the fissure o^H Rolando The bullet en- — (ered at the centre of tb^v f rehead an inch and == q inrler above the upp«^— leid of the eyebrows: r^ passed In a straight lic^r: tl r ugli the brain, from t f an 1 waa deflected ul ere t lodged. Tl c patient left the lii — ^ I llil where he had foi — ^3 long lime been retain ^^ simplj for observation, hue 3 1884, and in^^r^ imntb went back to i ■ at hjs old employment — — a butcher's shop. He mained at work during exceptionally hot In the early part of ^ tember
 * )atient taken at that tlma.

On Sept. 12, \Mti w — -"e en

twelve and one o'clock in Ibe moniing, Knori r«-

ceived a heavy blow in the anterior scar from Ihr

•Ibow of the man with whom he was sleeping. K^^ciorr stales that he suffered Intense pain in the beai^K fvr half an hour, when It died away, and he fell aa- Beep again. He awoke at about four o'clock, and no- ticed, with wonder, bis right forearm beginnin.^ la Bex upon Ihe arm. He tried to hold it down ^^Ith bis left baud, but failed. Then hi« right leg was drawn up. Then his left upper and lower extr«nii~ ties respectively became affected in the same maaiier. lie remembered being asked what was the matleK~, and that he could not speak, bnt screameil, and ibes^x lost consciousness. The convulsive movements we" — " so energetic, that the patient waa thrown from hisb^?^^ upon the floor; nevertheless, he was able to return K — " work the same day.

On Oct. 1, while delivering a parcel at the honi^^^' of a customer, he was seized with a slight rlgidii]^>^' followed by a short convulsive

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