M——, A—— a machine readable transcription Susan C. Lawrence Kenneth M. Price Kenneth J. Winkle 2011 med.d1e16697 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

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 The following are responsible for particular readings or for changes to this file, as noted: Kenneth Winkle AJ Howell 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 265 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 trephining after gunshot fractures of the skull trephining practiced, fatal termination conoidal musket ball entered at juncture of coronal and squamous sutures and lodged symptoms of compression of brain eyeballs, especially right, prominent and pupils fixed and contracted blood and brain substance oozed from wound cerebro-meningitis, advanced to stage of suppuration pus collected over anterior surface of brain and between pia mater and arachnoid ball lacerated anterior portion of middle lobe of brain, terminal branches of internal carotid, and anterior branch of temporal artery fragment of ball found in middle lobe of cerebrum, remaining portion imbedded in sphenoid bone large clot on floor of middle fossa of cranium post-mortem examination blessed added figure encoding 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 A—— M——, Co. D, 155th Pennsylvania Volunteers, was wounded at the battle of Fredericksburg, Virginia, December 13th, 1862, by a conoidal musket ball, which entered at the juncture of coronal and squamous sutures, and lodged. He was admitted to the Patent Office Hospital, Washington, D. C., on the 17th, complaining but very little of his wound, and was able to walk about until the 19th, when the pain became so severe that he was compelled to take to his bed. He became restless, showing all the symptoms of febrile excitement. A lotion of lead water and laudanum was ordered to be applied to the wound, and an anodyne administered. Up to this time he had not been delirious and was able to give rational answers to all questions. On the morning of the 20th, he was comatose and all the symptoms of compression of the brain were well marked; his eyeballs, especially the right, were prominent and the pupils fixed and contracted. On removing the dressing, blood and brain substance oozed from the wound. The wound of the scalp was then enlarged and the skull trephined; spiculæ of bone were removed, causing considerable hæmorrhage, but no relief to the patient. He died a few hours after the operation. The post-mortem examination revealed cerebro-meningitis, advanced to the stage of suppuration, pus having collected over the anterior surface of the brain, and between the pia mater and arachnoid. The ball had lacerated the anterior portion of the middle lobe of the brain, the terminal branches of the internal carotid, and the anterior branch of the temporal artery. There was a large clot on the floor of the middle fossa of the cranium. A fragment of the ball was found in the centre of the middle lobe of the cerebrum, and the remaining portion was imbedded in the sphenoid bone. The pathological specimen is figured in the wood-cut. The opening in the cranial wall measures one inch from above downward and is three-fourths of an inch wide; from this point one fissure passes downward across the glenoid cavity and a second forward into the external wall of the right orbit, which is comminuted. The ball is encrusted with calcareous matter. Acting Assistant Surgeon J. H. Jamar contributed the specimen and history.

FIG. 132.—Segment of cranium and portion of lower maxilla, and round musket ball. The skull was trephined. Spec. 685, Sect. I, A. M. M.