One of the authorities says that if there is more
pressure of serum on one or other portion of the brain, it should
affect his mental capacities in such and such directions. So if he
should talk, notice very carefully what kind of ideas his mind seems
to run on; whether memory, or penetration, or the reasoning faculties
are exercised; whether sentiments or practical questions fill his
thoughts; whether he makes forecasts or dwells on the past; in fact;
you must be prepared to give an accurate report of him. It is quite
likely that the extravasation fills the whole brain, in which case he
will die in the imbecile state in which he is lying now. You cannot
tell anything about these mysterious nervous diseases. Suppose the
crash came here," said Bianchon, touching the back of the head, "very
strange things have been known to happen; the brain sometimes
partially recovers, and death is delayed. Or the congested matter may
pass out of the brain altogether through channels which can only be
determined by a post-mortem examination. There is an old man at the
Hospital for Incurables, an imbecile patient, in his case the effusion
has followed the direction of the spinal cord; he suffers horrid
agonies, but he lives.
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