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Stung with this dreadful thought, with rage I searched in my pockets for my penknife, to relieve me at one from my torments and apprehensions; and had I found it, I should certainly have committed suicide. Fortunately I had left it at home, or it would have been buried, in that moment of frenzy, in the carotid artery; for as well as others, I knew exactly where to find it.
He told me that the knife had just missed, by a hair's breadth, the carotid artery, but unfortunately it had struck the cervical plexus, that important nerve-plexus, situated in the side of the neck; and had cut the recurrent laryngeal nerve, which arises from the cervical plexus and supplies the muscles of the larynx; and it had thereby caused instant paralysis of those muscles, and aphonia, or loss of voice.
All the foramina for the transmission of the sensiferous nerves are large, the auditory particularly so; while the foramen, through which the carotid artery enters the skull, is small. The mastoid processes are large, which might be expected, as their hearing is acute. The styloid process is small; in monkeys it is wanting.
When a large arterial trunk, such as the external iliac, the femoral, the common carotid, the brachial, or the popliteal, has been partly divided, for example, in the course of an operation, the opening should be closed with sutures arteriorrhaphy.
But for Marie Shabata it had not been so easy. One ball had torn through her right lung, another had shattered the carotid artery. She must have started up and gone toward the hedge, leaving a trail of blood. There she had fallen and bled. From that spot there was another trail, heavier than the first, where she must have dragged herself back to Emil's body.
The external carotid and the cervical portion of the internal carotid are seldom the primary seat of aneurysm, although they are liable to be implicated by the upward spread of an aneurysm at the bifurcation of the common trunk. In addition to the ordinary signs of aneurysm, the clinical manifestations are chiefly referable to pressure on the pharynx and larynx, and on the hypoglossal nerve.
Though the man had definitely been in serious pain, Nevan had inflicted no real damage beyond bruises; when the man woke, he'd be able to function normally. Nevan was tempted to clean the man up, put him to bed, and dose him with rapid-heal but that wasn't how one with his cover occupation would act. Instead, he got an injector of energine and triggered it into the businesser's carotid artery.
"I must congratulate you, doctor," said the friendly surgeon who had assisted in the operation. "It was even more difficult than I had imagined. I never saw a case in which the sheathings of the internal jugular vein and carotid artery were so completely involved. The tumor had made its ugly adhesion all around them.
His position could not have been better for my purpose. I "swung on him," as we used to say at the gymnasium, catching him under his protruded jaw, not far from the region of the carotid artery. The blow was well placed, and desperation lent me phenomenal strength. It raised him bodily off his feet, and hurled him backward out of the cave, where he lay motionless. He was now in my power.
He had also saved his camel from a little earlier death, inasmuch as he had decided to probe for the faithful creature's jugular vein and carotid artery during the torturing heats of the morrow and prolong his life at its expense.
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