FUNGUS. 
the fkull, a gen ite, occurred: At the be- 
ginni fted ne ana ufed to have 
is pap anent was 
ef.a pale re As mour in- 
ereafed, he had Een re ee was as fubject a giddinely ne 
and :reeled like'a drunken man; the pulfe became flow 
weak:; he: betook himfelf entirely- to his bed, my no 
longer fit up, became: incolersets lay oppreffed, = ‘i a 
pulle which was a, mere tremulous motion ks the artery. 
T’he difeafe ran its ret in hour eight da 
. With regard: to-the treatment of the ae cerebri; Mr. 
Abernethy i is.of opinion, aie when no as Cae pre- 
cede.the appearance of the tum they go away. 
upon the {welling being (ae from the oaenen, of the 
ura mater, it may perhaps be moft prudent not to interfere 
with the difeafe. The tumour may of itfelf drop off in 
pieces, and be no more renewed.. In the Edinburgh Medi- 
cal Commentaries, vol. i. p. g8, may be found a cafe, in 
which the tumour continued to. pied for fourteen days, 
and had oe as large as a goo 8B when it droppe 
off .in la pieces. ‘Another inflanc of the fame kind is 
alfo- reco ey in the le Mufeum, an iv. p. 463. See 
ee pce Hildann 
hile. 
tended with bad serve 
aan if the fungus fhould continue to increafe very 
much, fo as to make it almoft impoffible to avoid a 
preffure apa it, the plan, which experience appears to ap- 
prove the mot, is occafionally to pare off the tumour with 
a knife. 
That fuch fwellings may. be eae removed has 
been proved both by accidents and by pra u Quef- 
nay, in the Mémoires de 1’ Academie de Chirurgie, relates 
the following cafe: ung man received, on the fi ight | 
parietal, hoe a “blow which -caufed a (es A part of 
the bone was taken and a hernia cerebri aes 
e 
he corfidered as corrup ir rem eép a 
cavity being left, t he corpus callofum could almoft b 
T 3 but alfy of th 
accident, ftill ai 
ral examples are recorded by Mr. Hill of fungi of 
the brain bing ene pared down with a knife. (See 
Cafes in § 
na ‘fangs cerebri, i in confequence of being confined 
by, the “fmalinet, of the aperture in the bone, occafions: irri- 
tation and preffure on the brain, it ape be advifable to en- 
my the opening in the cranium. In this way, the {urgeon 
alfo ineeeed in. giving vent to fluid collected and con- 
fined under the flcull. 
‘There are fome cafes to be met with; in furgical books, 
greatly againft the employment of compreflion. One is 
noticed by Scultetus, in his Armamentariumi Chirurgicum, 
obf. 19; and.another in the London Medical Journal, vol, x. 
- 277. . In thefe in 
avity w 
found i in each ‘brain, filled with an. sccumulation of fuid, 
: 3 
orten 
notwithftanding the preffure of the dreflings and large com 
agula; but will ede ceafe on the bleeding furface. 
being expofed. 
e fhall conclude eich cautioning furgeons agaif{t the, 
anger of ever applying ftyptics and cauttics to any difeafes. 
afer from the furface, or fubft ance of the brain, ‘and with, 
ales nee ot to d ; 
0) other circulant: - Frequently, mflamm 
of ce fe mater will be 
and require at leaft, as eich eee decifion, and judg- 
ment on. the part of the furge 
ae 
Fungus Teftis.—Until late i the particular difeafe of, 
which we are about to- {fp cak feems to have efca be 
notice of furgical . writers, in con aaanae of the La 
fe@ion not being un nderftood, when met with in p 
the Ge proceeding of .c aftration has too often been ee 
y unneceflarily adopted. 
An exceedingly able defcription of the fungus teftis was 
r. Lawrence in the fourth volume of the 
” Souths ‘by 
Edinburgh Medical - Surgical Journal. © 'T je is, 
there illuftrated with the particulars of nine cafes, whicky 
bfe rvation. 
‘by this-gentleman, that the patient commonly 
affigns fome blow, .or other injury, as the caufe of the com 
plai nt. Is fome inftances, the difeafe originates in the her- 
nia humoralis from gonorrhcea ; in others it comes on with- 
out eager caufe. The ‘di ce 
f the pain an 
fall ra ‘place. tn this ee the diforder appears very 
indolent ; but if the fungus be deftroyed by any means, 
the e integuments come together, and a cieatrix enfues, whieh. 
is infeparably connected with the tefticle. 
r. Lawrence next informs us, that an sees of the- 
part, while the fungus exifts, difclofes the » that this: 
growth has its origin.in the glandular fabfeance of the teftis . 
itfelf; that the coats of t} Ps art are deftroyed to a certain- 
extent 3 and that.a protr ufion of the tubuli pasar takes 
pce through the opening, which is thus formed.. I have 
often: (fays this gentleman) afcertained the continuity of the 
excrefcences wit - pulpy fubftance of the teftis, of which 
we e or lefs re a according to the dif- 
ference in - period of the diforder. It appears to me that. 
art of the teftis experiences an inflammator 
affeion i in the firft inftance, in confequence of. the eid 
face on it; and that the confinement ay the {wollen fub- 
ftance 
