J——, T. M. a machine readable transcription Susan C. Lawrence Kenneth M. Price Kenneth J. Winkle 2011 med.d1e16297 Civil War Washington University of Nebraska–Lincoln Center for Digital Research in the Humanities
319 Love LibraryUniversity of Nebraska–LincolnLincoln, NE 68588-4100cdrh@unlnotes.unl.edu
 2011

Copyright © 2011 by University of Nebraska–Lincoln, all rights reserved. Redistribution or republication in any medium, except as allowed under the Fair Use provisions of U.S. copyright law, requires express written consent from the editors and advance notification of the publisher, the University of Nebraska–Lincoln.

 The following are responsible for particular readings or for changes to this file, as noted: Matthew Bosley Elizabeth Lorang Stacey Berry Elisabeth Tracey The Medical and Surgical History of the War of the Rebellion. (1861–65.) Surgeon General Joseph K. Barnes, United States Army Washington, D.C. Government Printing Office Part 1 Volume 2 1870 248 Medical and Surgical History of the War of the Rebellion on special wounds and injuries of the head wounds and injuries of the head gunshot wounds gunshot fractures of the cranial bones removal of fragments after gunshot fractures of the skull fatal cases of gunshot fractures of the skull treated by the removal or elevation fragments treated by operation, not by formal trephining extent of injury ascertained with precision, organic alterations accurately observed conoidal ball entered superior border of right temporal bone, passed transversely, fractured both tables of skull Confederate prisoner convulsions, followed by paralysis of right side, succeeded operation fragment of bone lay upon brain substance right brain abscess, brain substance of right lobe softened and congested post-mortem examination performed additional proofing of transcription and encoding, edited and added keyword terms additional proofing of transcription and encoding case text extracted and transformed from larger file enriched encoding validated file encoded initial checking of OCR text against PDF; encoded

CASE.—Private T. M. J——, Co. H, 45th North Carolina Regiment, aged 38 years, was wounded at Silver Spring, near Washington, July 12th, 1864, by a conoidal ball, which entered at the middle of the superior border of the right temporal bone, and passing transversely, fractured both tables of the skull. He was taken prisoner and conveyed to the Lincoln Hospital, Washington, on the 17th, being conscious at the time. On the 27th, the wound was enlarged and fragments of bone were removed. The wound was in a healthy condition, and the patient's pulse full and regular. Convulsions, followed by paralysis of the right side, succeeded the operation. These symptoms continued until the 29th, when he became comatose. Mercurial purgatives, cold applications, friction and sinapisms to the extremities, were used without avail. The patient sank rapidly, and died on the 29th. The post-mortem examination revealed a fragment of bone, about one inch in diameter, lying upon the brain substance. An abscess existed about the size of an English walnut. The brain substance of the right lobe was much softened and congested, and the ventricles were filled with serous fluid. The vault of the cranium was preserved, and is figured in the wood-cut. Fragments have been removed from an elliptical space, measuring one by one and one-fourth inches. The posterior half of the sagittal suture is separated, and five fissures radiate from the fractured point. The edges of the opening are necrosed, cribriform, and crumbling. The specimen and history were contributed by Acting Assistant Surgeon T. L. Leavitt.

[Editor's Note: No wood-cut figure appears with this case in the published MSHWR, Part 1, Volume 2.]