Literary Notices. Iv 



2. Laborer. Struck by iron column above right ear and thrown 

 upon his head. Bleeding from ears, eyes and mouth, paralysis of both 

 sides of face and fauces, bilateral lagophthalmus, convergent squint and 

 enlarged pupil of left eye, headache. Expectant treatment, gradual re- 

 covery. A/i'du-a/ A\"cOs,' March 5, 1892. 



3. Bullet entered at back of hard pallet near middle line at left, 

 passed through the base of brain cephalad of optic chiasm and mesad of 

 left optic nerve, traversing first frontal convolution, emerging from its 

 upper part. Fragments removed, drainage and iodoform dressing. Sup- 

 puration behind left eye which subsequently discharged through wound. 

 Recovery with partial deafness of left ear, due to fractures at base of 

 skull. Brif. Med. Journal, March, 1892. 



4. Boatman, 24 years old. Bruise wound 8 cm. above left ear, 2 

 cm. in diameter. Unconscious, contraction of right pupil, strasbismus, 

 right arm more rigid. Trephined, removed extensive epidural clot. 

 Paresis of arm removed. Recovery. 



5. Intoxicated man by a fall ruptured anterior branch of middle 

 meningeal artery. No external signs. Trephined, clots removed. 

 Symptoms — motor aphasia and diminished sensation on' right side, some 

 indication of facial paralysis — disappeared on removal of clot. 



6. Man injured by fall. Headache three weeks, then unconscious, 

 vomiting, general convulsion. Double optic neuritis, and right hemian- 

 opsia. Trephined, abcess in left angular gyrus, removal of 2 ounces of 

 pus. After operation word-blindness. Death. Lancet, ^ov ., 1891. 



7. Compound fracture with extensive comminution of right parietal 

 at the centre of the region of Rolando. Left arm paralyzed below elbow, 

 sensation and intelligence unimpaired. Operation revealed extensive 

 splintering of inner table. Subsequent loss of brain substance by hernia 

 cerebri. Partial recovery. New York Med. Journal, ]an., 1892. 



Pathology of the Solar Plexus. 



It has been known for some timel that glucose, acetic acid, and albu- 

 men are formed in the urine of animals in cases of injury to the solar 

 plexus. Dk. Ckistiani {Rifornta Med., Sept. 1891,) has studied a " vaso- 

 paralytic diarrhoea," which is common in insane hospitals and finds it oc- 

 casioned by degeneration of the plexus. Chemical e.xamination discov- 

 ered glucose and albumen but no acetic acid in all the cases examined. 



1. LvsTlo, Suir acetonuria sperimentale, Lo .SpiTiiiiciitalc, XLV, 5-0. 



