File:A new manual of surgery, civil and military (1917) (14580099177).jpg

Identifier: newmanualofsurge00ochs (find matches)
Title: A new manual of surgery, civil and military
Year: 1917 (1910s)
Authors: Ochsner, Albert J. (Albert John), 1858-1925 Percy, Nelson M. (Nelson Mortimer), b. 1875
Subjects: Surgery
Publisher: Chicago, Cleveland Press
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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hese patients have acquired careless or erratic habits of life, andespecially unfavorable habits of diet, both as regards time of eating and quan-tity and character of food. We have observed patients who remained perfectlywell for months or years who had a recurrence of an epileptic seizure aftereating an unreasonable amount, or after eating a large meal when exhaustedafter a days labor. One of these remained well until he worked beyond hisstrength for a number of days in the hay field, after having been well for two 112 SURGERY OF THE HEAD years following an operation for the relief of a depressed fracture of the skull.This ease had suffered from epilepsy for several years previous to the operation.It seems clear that although the local irritation in the cortex may havebeen relieved by the operation, any one of a number of correlating influencesaffecting the patients general condition may be the cause of a recurrence,hence the wisdom of careful control of the patient after operation.
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Hydrocephalus with Jackscnian Type of Epilepsy in a 10-Year-Old Boy.Relieved by Decompression. IDIOPATHIC EPILEPSY Since Kocher advanced the theory that an increased intracranial pressurewas the important etiological factor in idiopathic epilepsy there has been somehope of giving relief surgically to some of these unfortunate cases. Duringthe past few years quite a number of surgeons have made some form of adecompression operation in these cases with a varying degree of success. Kocher makes a decompression in the right fronto-parietal region by firstmaking a large flap of scalp with pedicle downwards, then excising a largearea of bone in the fronto-parietal region. The dura is carefully excised, thearea removed being a little smaller than the opening made in the skull. Thescalp flap is then replaced and sutured. During the past two years the authors, in addition to making a decompres-sion operation, have followed the method of Kirscher of replacing the exciseddura by a flap of fascia

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