Publisher's Synopsis
Excerpt from Diagnosis and Treatmentment of Brain Injuries: With and Without a Fracture of the Skull
The diagnosis and treatment of brain injuries have advanced most rapidly within the last few years. 'the clinical symptoms and Signs are so varied and frequently so confusing in these patients that it is a most fascinating field; apparently in many patients the more extensive the fracture of the skull, the less seriously is the brain injured; and, on the contrary, the most dangerous of brain injuries are frequently not even associated with a fracture of the skull. As is well known, the fracture in these patients (if we exclude depressed fractures of the vault which should always be elevated or removed) is possibly the most unimportant part to be considered in the treatment, whereas the 'presence of a marked increase of the intracranial pressure, with and without a fracture of'the skull should immediately cause the patient to be withdrawn from that large group of patients properly treated by the expectant palliative method, and the advisability of an early operative procedure to relieve the increased intracranial pressure should be considered.
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