The Anderson intelligencer. [volume] (Anderson Court House, S.C.) 1860-1914, 1884-06-05
guaessou gateIligeufer.
BRAIN SURGERY.
FluhreITs Remarkable Operations
Bellevue Hospital.
INete Yort World, Hay q.


cal gentlemen, among whom were Prof-
Lewis A. Sayre, A. Post and Charlie
Mitteudorf, Drs. Ander;ou, Putnam
jacob and others, the most remarkabl,
case Of successful surgical operation o
the brain that ever came under the obser
yalion Of g surgeon and which s.ii
remains uDez planned from the fact thai
the patient recovered and is S! pIcscn,
enjoying The best OF health.
The case has no parallel in the annal:
OF medical literature and until it present.
ed itself the most eclectic surgeon would
have doubted the possibility Of introduc.
ing the knife into the brain without fatal
results.
The patient, Bruno kIorr, VINO yes,er.
day sat In the amphitheatre Of the hos
pitaf in the centre Of group Of intensely
interested physicians, who carefully eI-
amined his head, which was mas Of
scars, showing where the bone was cut
out, has a remarkable history. He is a
weli-formed young man, ard were it not
for his much.chopped up forehead, would
be quite good looking. He appear. to be
Of very aftectionate disposition, which
is the cause Of his strange wouud. On
the evening Of January 23 last, IS printed
in the Wurtt 81 The time, be visited his
sweetheart and asked her 10 marry him,
but she declined; he pressed his sui;,
but was fatty refused, upon which he
pulled out revolver and fred bullet
into bis brain. The ball entered the
forehead, about en- inch and half above
the eyes, directly in the centre. He fell
TO the ground with blood gushing pro-
fu.ely from the wound. He was supposed
t. be- dead, but nevertheless he was re-
moved 70 Bellevue Hospital. Upon arrir-
ing at that place the junior surgeons
were surprised TO find that he was still
alive. EnEcHgA The oigh: ssey eat bJ
his bedside, intent upon making ob.elya
tiens az 20 hog long be could really lire,
applying only such simple remedies az
would eASe the lee. moments Of dying
man. But taey miscaiculared, for in the
morning they found him still alive, al.
though unconscious. Afraid to do any
thing upon their own responsibility, they
telegraphed the visiting surgeon, Prof,
Fluhrer, at daybrea., and be came at
once in response to the summons, hardly
supposing he could do anything for ;he
paiien.- From certain peculiar Surround.
iDgs, however, he was led 10 undertake n
most hazardous operation. which he
described 10 his listeners yesterday while
standing at The side of lhe man whose
life be had saved.
Finding the pulsstion of the patient
growing weaker and life slowly cbbing,
he took the most desperate chances and
resolved to operate at once. Feeling as
sured the brain was wounded, from the
small particles Of its substance that
oozed through the hole made by the bul.
let, he boldly set to work, and, thinking
: that he could do no more than apply the
last measures. he dissected of the flesh
around the wound clean to the bone,
holding back the flaps with pins, and
then cut out disc of the skull abou. the
size of dime with trephne above the
bullet hole, joining the two by chiselling
away the bridge intervening. On TT
tempting to remove the particles of bone
which had been driven upon the brain
matter by the bullet in its passage and
had set up dangerous condition by
their pressure, he met with profuse
hemorrhage from one Of the large
arteries, which was cut across its gaffed
edges scarcely to be seen. Two attempts
to catch it up proved futile, and realizing
that death from loss of blood under the
circumstances was matter Of moment
he introduced his finger into the wound
and pressed the artery against the bone
and for time became master of the situ.
a.ioa, The exesIion tired him soon and
he instructed his assistant to relieve him
while he again attempted to catch the
end. Amer five trials he was successful
and placed ligature OF catgut around it.
I, The little vessel, however, was tricky,
and the ligature slipped OF, leaving mat.
ters worse than before. Again he tried
1t and at last overcome the obstacle by
tying it tightly. Next he introduced q
bullet tipped probe, which descended by
its own weight, about five inches into the
brain, when he stopped short aud held
1t in place. Carefully studying the angle
in which 1t entered he marked point at
the back of the head where Il would If
further pushed come out, aud theya cut
ofthree hapsaroundi it and sawed through
the bone, exposing the brain coverings
in the rear. There he cut through and
met with mass Of dark, if.clotted
blood mixed with particles of brain
which foated about. This was carefully
r Washed out. --.s,.,.,.. ..,-...s.a 49,.
He passed In probe smaller than she
first and fclt the bullet, lodged rs it was
in the bEain.t With delicase iforeceps it
was pulled out through the opening be-
hiEd. The operation occupied four hours.
a rubber tnbe WAS drawn into the wound
through the channel cut by the bullet by
means OF which the, septic matter was
allowed to flow. It remained there for
over month until recosaTy had SO far
advanced that the patient was declared
out of danger T. the surprise of all and
in conflict with the established rules Id
sGrgery.a ProEtHnhrer enlightened kis
hearers with tho treatment after the apeS-..
alton and presented q chart ,shogihg the
variations Of the pulse. teaspeFatufe .afiti-
reSpirations Hbfehhh he obsesb aitpihS
the progress of the case, He laid, greai
stress upon the difficulty he had In idtatY. :
ing out several horse tairs Which he IN.
froduced around the drainase tube 20
prevent its adhering to the walls Of the
wound.
After ths most critical stages had
passed it waa found that Knorr had Lost
his memory, powers of speech and was
partially paralyzed, but he,has recovered
oil his faculties and pronounced himself
as safe and sound rs dollar when ques-
TONED by the doctors yesterday. Tie
( nearest approach OF Knofr's case u one
rePoTisa Sy .i1s. DS::sEs:s!.da CO ~. e;.y,
who about fifty years ago trephfned ahe
skull OF o patient suffering from an abscess
Of the brain, which he located, and, By
frephiaing the skull, exposed the brain
and opened the abseess By cutting into
Z 1t, but the patient only survived few
months. when he died from recurrence
of the disease.
Vices OF Animals.
Some animals. as a class, are noted for