File:The American text-book of obstetrics for practitioners and students (1903) (14797378263).jpg

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Identifier: americantextbook02came (find matches)
Title: The American text-book of obstetrics for practitioners and students
Year: 1903 (1900s)
Authors: Cameron, James C. (James Chalmers) Norris, Richard C. (Richard Cooper), 1863-1937 Dickinson, Robert Latou, 1861-1950
Subjects: Obstetrics
Publisher: Philadelphia : W.B. Saunders & Co.
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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1. Skeleton of hydrocephalus illirst Collection, University of Pennsylvania). 2. Hydrocephalus(Hirst). 8. Hydrencephalocele posterior (Hirsl and Piersol). i. Hydrencephalocele superior. 5. Hydro-cephalus distending lower uterine segment (Varnier). 6. Tapping a hydrocephalus through the spina) canal. D Y8T0CIA. 93 ll the pelvic extremity of the hydrocephalic fetus presents as it does inalmost a third of all cases—and if the head remains inaccessible above th<• punctured, the spinal canal may beopened, a catheter be passed through it into the cranial cavity (Van Huevelsmethod), and the fluid thus be evacuated Fig. 84). I rsually, however, thereis ii special difficulty or danger in the delivery of the after-coming head of ahydrocephalic infant. The force required for it< extraction not infrequentlyruptures the walls of the ventricles and converts the case into one of external
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Fig. 84.—Tapping a hydrocephalus through the spinal canal (Varnier). hydrocephalus, or possibly drives the fluid out of the foramen magnum into the tissues of the neck and hack, so reducing the bulk of the head as to per-mit its extraction. At any rate, the condition can scarcely escape the noticeof the medical attendant, and a diagnosis is made before the lower uterinesegment is dangerously stretched or ruptured. The difficulty in the delivery of a hydrocephalic fetus is not in direct pro-portion to the quantity ^ fluid in the ventricles and the si/e of the head. Incases of extreme distention the cranial vault is likely to rupture, while in 94 AMERICAN TEXT-BOOK OF OBSTETRICS. moderate grades of hydrocephalus the quantity of brain-substance surroundingthe ventricles and the strength of the brain-membranes forbid this means ofspontaneous delivery. Malpresentations and faulty positions (PI. 39) include shoulder, face, brow,deviated vertex, and compound presentations. All but the last

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