The Anderson intelligencer. [volume] (Anderson Court House, S.C.) 1860-1914, 1894-09-26
Trrphining the Frontal Bonc for
Chronic Headache.


from icalachc Of twcniy years dnra-
lion
The history IF the ra-r is ~ 'ol-
low: Whrn years old, while playing
in i yard il, the downtown trmcmcm,
lio,,>c district. h, fell ON Il rurb>t"nc
and received cut in the upper ri.ht
quadrant IF the forehead. about IN
inch above the >urra-orbital ride and
parallel with it. His mother took him
to the nearest druggist. aud had the
cut dressed with adhesive plaster. af,rr
the manner Of the time. The rut sup
pllratci and healed slowly. lie soon
brran to- suffer from headaches in the
upper right frontal region, They in
creased in severity durin" his youth
and young manhood. until they be-
came quite unbcarahlc Indeed, he
was untitled for work III least one day
in the week and sometimes two days.
These headaches were practically con
timuou<. II he awokc in the night he
felt the pain. and ii va, subject to
frequent rXarcrbatinn>. accompanied
hv attacks. as h. termed them.
These attacks consisted of a severe
par"xy,m of pain. accompanied hy
dizziness. making him feel very weak.
50 that he would usually. though not
always. fall wherever hc happened tn
be.
At no time durin. these attacks did
he have Il c"nvul>i"n. "r even slight
convul>ivc twitching lie was never
unconscious. always knowing every
one about him. lie never vomilcd.
nor bit his tongue or check, he never
hurt himself when he fell. nor did he
| ever fall III dangerous place. though
he frequently remarked to his friends
that it WAS strange he did not. He
always had prcmoniton Of al attack.
M cXcit;n. causes were apparent,
though he declares if the wind blew
hard i'm his face the headache became
worse. He had thcm when Il boy in
school and after he began to work.
Again and again he had to be led home
by his fellow workmcn or taken home
in a carriage. He had no more at
tacks when he was at work than when
he was not. lie had never had any
| illness. not even meas .cS.
The treatment ct various physicians
and attendance at two Of the city hos
pital> for varying lengths of time had
not produced any amclioraton Of his
condition. and at the time he came to
me. his condition 81 preycd upon his
mind that he feared he would become
insane.
On examining his head in the re-
zion above indicated, Il small indenta-
ton. scarcely an eighth Of an inch in
length and Of only slight depth, WAS
found. and it was only after question
in@ the patient at great length that he
remembered exactly when he received
the injury as above elected, though he
was positive of his age eight at
Which time the headaches began.
Since the accident had happened so
long time before, and because the
writer could learn 50 little of his pre-
vious history. it was deemed only pru-
dent to eliminate the various other
causes Of headaches, such as eye
strain. Stonachic arrangement, disease
of the kidney, etc. He was sent to
DR.. Knapp. who examined his eyes
and found them both normal. He was
dictcd most rieorousl y on milk and the
whites of c@gs for some time, without
any relief.
As Ito trouble could be found and
all medical treatment was nnavalllnG,
the impression became more and more
fixed that the inner table of the from
tai bone hat, been fractured, and that
the resulting cXo>tG>iS, or possibly a
pacchionion granulation pressing on
the brain. was the probable cause. and
that trcphining might rive him relief;
certainly nothing else would. lie
readily con:cntcd, and on July ~,
lS9l. $cmicrcular inci>ion was made
surrounding the scar tissue marking
the seat Of the accident. When the
scalp was turned back there was seen
to be slight depression in the skull
not over half all inch in length. Fol-
lowing the surgical indication. the
trcphinc point was placed in the cen,
ter of this depression and Il disk OF
bone. thrcc-quartcrS of an inch in dl-
amctcr. was removed On cXamina-
ton, this disk was found slightly
tlickcncd ut its upper margin, where
normally it should have been slightly
thinner. There was. however, no
wcll-lctimc,l mari: Of fracture. As the
drra matter appeared perfectly nor
NAL. there was 10 call for further
search. The trcplinc hole was care
fully FURNISHED, every rough particle
being removed, $" us to leave no pos
>iblc chance for irritation. The seal
wound WAS then carefully suturcd with
black. iron-dycd silk; no drainage was
,lccrcd necessary.
In five days the stitches in the i'll
trgumcnt. thirtyscvcn in number,
were removed. At the first dressing.
on r.moyin. the bandagc, release OF
the pressure cauScd the patient 10
have Il Slight cpilcptiform seizure; the
twitching Of the body WAS general.
tonlccturing that the sudden removal
Of pressure was the probable cause OF
the trouble. -cntlc pressure WAS made
upon the area representing the uncov-
cred portion of the brain, and at once
the >pa>rn ceased. The wound united
promptly and in seven days the pa-
ticmt WAS on the street.
From the moment Of cthcrizatlon
until now. the patient has had no
hca,lachc. lie expresses himself as
ycry much delighted with the result.
Iir goes 81 far IL To say that he is
'hr.inning life ali"w.
The hole in The skull has nearly
filled with fairl! dense librous ti>-
sue. through the centre Of which.
howcycr. the rul~a;inn Of the brain
can still be seen and felt. MAR
>irAr HAYNES. ". D.. New York. in
iI.}icuI n,c"iI.
HoW's This.
We oAcr Onc Hundred Dollars re-
v.,r.i rur amy ,,sr IF Cotorrh that can