D——, Thomasa machine readable transcriptionSusan C. LawrenceKenneth M. PriceKenneth J. Winkle2011med.d1e1913Civil War WashingtonUniversity of Nebraska–LincolnCenter for Digital Research in the Humanities319 Love LibraryUniversity of Nebraska–LincolnLincoln, NE 68588-4100cdrh@unlnotes.unl.edu2011
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Kenneth M. PriceAJ HowellMatthew BosleyElizabeth LorangStacey BerryElisabeth TraceyThe Medical and Surgical History of the War of the Rebellion.
(1861–65.)Surgeon General Joseph K. Barnes, United States
ArmyWashington, D.C.Government Printing OfficePart 1Volume 2187017-18Medical and Surgical History of the War of the Rebellionincised fractures of the craniumwounds and injuries of the headincised and punctured woundsparietal extensively fractured, marked depressioncerebral hemisphere occupied by abscesswounded by sabre blows over the earpartial hemiplegiapost-mortem examination performedblessedadded figure encodingadditional proofing of transcription and
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D——, THOMAS, Private, Co. G, 5th Connecticut Volunteers, aged 48 years, was wounded
at Chantilly, Virginia, on September 1st, 1862, by several sabre blows over the
right ear. He was taken to Washington, and admitted to Douglas Hospital on September 5th. He was then suffering from partial hemiplegia, with
mental hebetude. There was great tumefaction of the scalp. It was found that the
right parietal was very extensively fractured, (FIG. 2,)
one fissure running near the temporo-parietal suture, and others upwards and
backwards from the ear. Near the parietal eminence there was a marked depression. It
was determined to raise the depressed bone, and on September 6th, Acting
Assistant Surgeon J. W. Williams applied the trephine, and, after
removing a button and several fragments of bone, he excised a sharp depressed angle
by a Hey's saw. It was ascertained that the dura mater had been injured by the
sabre-cuts. After the elevation of the depressed fracture, the paralysis of the left
side was relieved. The head was shaven, and cold applications were perseveringly
employed. For ten days subsequently the case appeared to progress favorably; but, on
September 14th, the patient began to be heavy and
drowsy, and the following day there were clonic spasms of the left side and
pleurosthotonos. At night the breathing was stertorous, the pupils were dilated, and
the general symptoms of compression of the brain were very marked. Death took place
on September 16th, 1862. There was a
large coagulum of extravasated blood under the scalp near the vertex, as though the
man had fallen upon his head after being wounded. A post
mortem examination was made on September 17th. On removing the calvariacalvarium, which was remarkable for its extreme thinness, it was found that the dura
mater was perforated beneath the intersection of the wounds, and that, for a space
of several inches, there was thickening, with other evidences of inflammatory
action. The arachnoid and pia mater were disintegrated in this vicinity, and a space
comprising nearly half of the right cerebral hemisphere was occupied by an abscess.
The calvariacalvarium was forwarded to the Army Medical
Museum by Assistant Surgeon Warren
Webster, U. S. Army. It is
represented by FIG. 2, on the preceding page.