[Anomalies and Curiosities of Medicine by George M. Gould]@TWC D-Link bookAnomalies and Curiosities of Medicine CHAPTER X 92/189
There was slight hemorrhage from the right nostril, and some pain in the head, but the pulse and respiration were undisturbed.
On the following day a fragment of the cerebral substance, about the size of a hazel-nut, together with some brood-clots, escaped from the right nostril.
In this case the inner wall of the frontal sinus was broken, affording exit for the lacerated brain. Cooke and Laycock mention a case of intracranial injury with extensive destruction of brain-substance around the Rolandic area; there was recovery but with loss of the so called muscular sense.
The patient, a workman of twenty-nine, while cutting down a gum-tree, was struck by a branch as thick as a man's arm, which fell from 100 feet overhead, inflicting a compound comminuted fracture of the cranium.
The right eye was contused but the pupils equal; the vertex-wound was full of brain-substance and pieces of bone, ten of which were removed, leaving an oval opening four by three inches.
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