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REPORT OF THE SURGICAL CLINICS,Held at the Western Pennsylvania Hospital, before the Students of the Western Pennsylvania Medical College,

J. B. MURDOCH
JAMA. 1892;XVIII(17):513-517. doi:10.1001/jama.1892.02411210007001b.
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ABSTRACT

[Reported by E. E. Wible, M.D., a member of the Graduating Class.]

(Concluded from page 420.)

TREPHINING FOR INJURY TO THE HEAD.

Here is another very interesting case. This young man was found along the Alleghany Valley railroad track last night, in an unconscious condition, due to some injury of the head. When he arrived here in the hospital, he was not paralyzed in any of his muscles but vomiting, pupils were equal. This morning he is paralyzed on one side and convulsive on the other. The left side is paralyzed and the leg and arm of the right side he is constantly throwing and tossing about. The question is whether it is due to concussion or compression. When paralysis is present immediately, from the time of an accident to the head, it is due to depressed bone, when it comes on gradually sometime after an accident, it is due

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