negro, name unknowna machine readable transcriptionSusan C. LawrenceKenneth M. PriceKenneth J. Winkle2011med.d1e3550Civil 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 WinkleAJ 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 2187058Medical and Surgical History of the War of the Rebellionon special wounds and injuries of the headwounds and injuries of the headmiscellaneous injuries of the headtrephiningwithout loss or apparent impairment of mental facultiesarm paralyzeddetachment of a large fragment of bone, triangular fragment removeddepressed fracture of both tables of parietal bonefractures from various blunt weaponscompression of brainwound over parietal protuberanceblow from head of axeblessedadded figure encodingadditional proofing of transcription and
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CASE.—A negro, whose
name was unknown, was brought into the E
Street Infirmary, Washington, D. C., with well marked symptoms of
compression of the brain, in the latter part of February, 1864. He was examined by Assistant Surgeon J. W. S. Gouley, U. S. A., who found a wound over the right parietal protuberance, caused
apparently by a blow from the head of an axe. The scalp was shaved, and it was found
that there was a depressed fracture of both tables of the skull, with detachment of
a large fragment. It was not practicable to insert the elevator to raise the
depressed fragment; to allow this to be done, a disk of bone was removed by the trephine. A triangular
fragment, measuring an inch by one and a quarter inches, was then removed and the
flaps of the scalp were approximated. The symptoms of compression were relieved, and
the patient was doing well three days subsequently, when the specimen, represented
in the adjacent wood-cut, (FIG. 23), was forwarded to the
Army Medical Museum. The facts above
noted are taken from a minute, made upon the reception of the specimen, by Surgeon John H. Brinton, U. S. V. It has been impracticable to learn
the ultimate result of the case; but a letter from the late Assistant Surgeon T. G. Mackenzie, U. S. A., dated March
25th, 1864, states that the man was doing well at that date, though his
left arm was paralyzed. Dr. Mackenzie refers to
an escape of brain substance at the time of the injury; and Dr. Gouley, in forwarding this letter, states that at least
half an ounce of brain matter was lost, and comments on the singular good fortune of
the patient in recovering without the supervention of cerebral hernia, and without
loss or apparent impairment of the mental faculties.