File:The Röntgen rays in medical work (1907) (14757148742).jpg

Identifier: rntgenraysinmedi1907wals (find matches)
Title: The Röntgen rays in medical work
Year: 1907 (1900s)
Authors: Walsh, David
Subjects: X-rays Radiography X-Rays Radiography
Publisher: New York : William Wood
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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care of Dr. Blaikie Smith, ofAberdeen, who published an interesting account of his case.* Whenfound after the accident, blood and brain matter were oozing froma wound in his forehead, a little above and to the outer side of theright supra-orbital foramen. A director passed into the apertureof the frontal bone, and through the substance of the brain, reachedsomewhere near the upper extremity of the fissure of Rolando.With regard to the track of the bullet, Dr. Blaikie Smith remarked : It seems clear, from the position of the opening in the skull, that themissile penetrated the brain about the lower part of the first frontalconvolution. Continuing its course obliquely upwards through theconvolution, it apparently next entered the motor area of the brain,producing, as direct results, paralysis of the arm and leg on theopposite side. Strange to say, the patient recovered entirely from this serious* British Medical Journal for September 17, 1892. 10 146 THE RONTGEJSf RA YH IN MEDICAL WORK
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Fig. 75.—Bullet in Brain (or within Skull) of Living Subject. Lead WireCage used for localizing. Professor Waymouth Reids case. MEDICAL AND SURGICAL APPLICATIONS 147 wound. Five years after the accident, at his own request, aRontgen ray photograph, reproduced in Fig. 75, was taken by Dr.Reid. An external landmark was secured by means of a head-cageof leaden wire fitted to the side of the head, which was placed uponthe sensitive plate. Farther details need not be given here, butthose interested in the point will find a full description in earliereditions of the present book. Dr. Reid concluded that the bullet, after it had traversed thebrain, came to a dead stop, flattened against the right inner surfaceof the skull, \\ inches above the Sylvian line, and 3J inches backfrom the vertical rising to the Rolandic line. His highly ingenious—indeed, brilliant—x-ray diagnosis nearlyconfirmed that arrived at in the first place by Dr. Blaikie Smith.In his published account of the case, the

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