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Then at one stroke he cut off his head, cutting his scalp upon the temple-bones, and lifting up in the upper part of the skull the two triangulary bones called sincipital, or the two bones bregmatis, together with the sagittal commissure or dartlike seam which distinguisheth the right side of the head from the left, as also a great part of the coronal or forehead bone, by which terrible blow likewise he cut the two meninges or films which enwrap the brain, and made a deep wound in the brain's two posterior ventricles, and the cranium or skull abode hanging upon his shoulders by the skin of the pericranium behind, in form of a doctor's bonnet, black without and red within.
The disease lasts for from two or three days to as many weeks, and relapses are frequent. Spontaneous resolution usually takes place, but the disease may prove fatal from absorption of toxins, involvement of the brain or meninges, or from general streptococcal infection.
Sweating sickness was an inflammatory rheumatic fever, with great disorder of the nervous system, and was characterized by a profuse and injurious perspiration. In the English epidemic the brain, meninges, and the nerves were affected in a peculiar manner.
Thus, the typhoid fever bacillus thrives in a certain kind of effete matter which accumulates in the intestines; the pneumonia bacilli flourish best in the catarrhal secretions of the lungs, and meningitis bacilli in the diseased meninges of the brain and spinal cord. Dr.
When one walked forward, the other was compelled to walk backward; their noses almost touched, and their eyes were directed laterally. At the death of one an attempt to separate the other from the cadaver was made, but it was unsuccessful, the second soon dying; the operation necessitated opening the cranium and parting the meninges.
At last, by the flare of one of the matches, he saw that the bullet had carried away part of the skull, that the meninges were laid bare over an area as large as the palm of the hand; this area was grey, oozing blood, and very irregular in shape, its outlines reminding Ligny of the map of Africa. He was conscious of a sudden feeling of respect in the presence of this dead man.
After habitual abuse of alcohol, the functional disturbances of the brain and spinal cord became constant and disappear the less, as in the central organs degenerative processes are more and more developed, processes which lead to congestions and hemorrhagic effusions in the meninges and in the brain itself, to softening or hardening, and finally to disappearance of the brain substance.
Later, when his pelvis was raised to allow the introduction of a bed-pan, almost instantaneous death ensued. Upon postmortem examination prolonged and careful search failed to reveal any microscopic change in the brain, its vessels, or the meninges.
Inflammation of the meninges or brain may follow injuries, not only to the brain itself, but to the scalp and adjacent parts, as the orbit and ear. Inflammation does not usually come on at once, but after variable periods. That the wound has penetrated the meninges is shown by the escape of cerebro-spinal fluid.
Philosopher, poet, artist, statesman, captain of industry, handicraftsman, peasant, courtesan and housewife, all are lowered to the same level of dementia and destroyed character by the consequences of the thickened meninges, the altered blood vessels and the injured nerve cells. Now and then one is fortunate enough to treat with success an early case of General Paresis.
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