Four cases of persisting infection of the brain following injury by projectiles

✍ Scribed by C. Hamilton Whiteford

• Publisher: John Wiley and Sons
• Year: 1915
• Tongue: English
• Weight: 579 KB
• Volume: 3
• Category: Article
• ISSN: 0007-1323
• DOI: 10.1002/bjs.1800031115

✦ Synopsis

THE cases here recorded were operated upon by the writer in the Military Hospital, Devonport.

1 .--Intracerebra1 Sinus. Encephalitis. Decompression. Death.

The patient was seen four weeks after the injury. In the upper right parietal region was a sinus which extended into the brain, at right angles to the cortex, to a depth of two inches. The only symptom was severe headache. A very free decompression was performed, and the dura mater incised, the intracranial tension being extreme. Two rubber tubes, with lateral openings, were placed in the sinus.

Drainage failed, hemiplegia supervened, aspiration of the lateral ventricle produced no improvement, and death occurred nine' days aftcr operation.

The autopsy showed no collection of pus, only a diffuse encephalitis, the brain, in the infected area, being almost diffluent.