ETAWAH SADAR DISPENSARY. DEEPLY INCISED WOUND OF THE HEAD WITIT FRACTURE OF SKULL, FOLLOWED BY
HEMIPLEGIA.?RECOVERY.
Reported by Assistant-Surgeon Nil Rattan Banerjee. Khilla, a, Dhobi lad, aged about 14 years, was struck on the head, with a chaff-chopper, on the noou of 4th May 1884. He was brought to the dispensary at 10 p.m. on the next night. When examined, the wound measured about 5 inches long, obliquely, on the top of the head. The scalp was completely cut through, and the skull was also divided, completely at the right, but only partially at the left end of the wound. The dura mater was also injured at the right end of the wound, and a tag of that membrane protruded through it. The wound was carefully dressed. In raising the boy from his charThe j)07j, the left hand was found paralyzed. boy had lost much blood, and was very weak. On the next morning {May 6th), the boy, while being examined by the Civil Surgeon, was found to have lost all power of motion in his left hand, He could not raise and partially in his left leg. his left hand, but could slightly lift up the left leg and bend the knee. Perfect rest was strictly enjoined, and sedatives were given at night. May 7th.?Suppuration took place in the wound externally; left leg completely paralyzed ; tonics and stimulants were ordered. May 15th.?Wound healing up and looking well, no caries of the bones of the head; paralysis continues. 3Jay30th.?Wound has almost healed up without any exfoliation of the bones of the head; muscles of hand and leg have regained some power; active movement was allowed; Dr.Bonavia, the Civil Surgeon, invented an easy plan of doing so, for the upper extremity?a pulley was fixed to a doorway, and a weight, attached to a string, was passed through it. The boy was to pull the weight by both hands* as a man draws water from a well, and again to let it descend. He was also to walk about on crutches. Tonics were given with a few drops of Liquor Strychnia. This treatment, with active muscular exercise, was continued for a fortnight, during which time the boy made remarkable progress, and on 5th June 1884, exactly one mouth after admission, he was discharged cured. Before dismissal, he recovered full power of the paralyzed limbs, and could walk well except with a slight staggering in turning to either direction.
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HEMIPLEGIA.?RECOVERY.
Reported by Assistant-Surgeon Nil Rattan Banerjee. Khilla, a, Dhobi lad, aged about 14 years, was struck on the head, with a chaff-chopper, on the noou of 4th May 1884. He was brought to the dispensary at 10 p.m. on the next night. When examined, the wound measured about 5 inches long, obliquely, on the top of the head. The scalp was completely cut through, and the skull was also divided, completely at the right, but only partially at the left end of the wound. The dura mater was also injured at the right end of the wound, and a tag of that membrane protruded through it. The wound was carefully dressed. In raising the boy from his charThe j)07j, the left hand was found paralyzed. boy had lost much blood, and was very weak. On the next morning {May 6th), the boy, while being examined by the Civil Surgeon, was found to have lost all power of motion in his left hand, He could not raise and partially in his left leg. his left hand, but could slightly lift up the left leg and bend the knee. Perfect rest was strictly enjoined, and sedatives were given at night. May 7th.?Suppuration took place in the wound externally; left leg completely paralyzed ; tonics and stimulants were ordered. May 15th.?Wound healing up and looking well, no caries of the bones of the head; paralysis continues. 3Jay30th.?Wound has almost healed up without any exfoliation of the bones of the head; muscles of hand and leg have regained some power; active movement was allowed; Dr.Bonavia, the Civil Surgeon, invented an easy plan of doing so, for the upper extremity?a pulley was fixed to a doorway, and a weight, attached to a string, was passed through it. The boy was to pull the weight by both hands* as a man draws water from a well, and again to let it descend. He was also to walk about on crutches. Tonics were given with a few drops of Liquor Strychnia. This treatment, with active muscular exercise, was continued for a fortnight, during which time the boy made remarkable progress, and on 5th June 1884, exactly one mouth after admission, he was discharged cured. Before dismissal, he recovered full power of the paralyzed limbs, and could walk well except with a slight staggering in turning to either direction.
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