THE LONDON AND EDINBURGH MONTHLY JOURNAL OF MEDICAL SCIENCE. EDITED BY JOHN ROSE CORMACK, M.D. EDIN., PHYSICIAN TO THE ROYAL PUBLIC DISPENSARY OF EDINBURGH AND &c. &c. &c. LONDON: JOHN CHURCHILL, PRINCES STREET, SOHO. EDINBURGH: MACLACHLAN, STEWART, & CO. DUBLIN: CURRY & CO. PARIS: FORTIN, MASSON, & CIE. 1842. OF CONTRIBUTORS OF ORIGINAL COMMUNICATIONS, TO WHICH AUTHORS' NAMES ARE ATTACHED, SINCE THE COMMENCEMENT OF THIS JOURNAL IN JANUARY 1841 TO THIS TIME. ADAMS, Francis, Esq., Surgeon, Banchory, Ternan. 1841. ADAMSON, John, Esq., Surgeon, St Andrews. ALISON, S. Scott, M.D., London. 1842. ALLAN, J. B., M.D. Edin., Forres. 1841. James, M.D., of Haslar Hospital. 1842. 1842. ANDERSON, Andrew, M.D., Professor of the Institutes of Medicine in Anderson's BALFOUR, John, Esq., Surgeon, H.E.I.C.S. 1842. D. C., Esq., Superintending Surgeon, Bombay Establishment. 1842. · Benjamin, Esq., F.R.C.S.E., one of the Surgeons to the Edinburgh Eye Infir- BENNETT, J. H., M.D. Edin., Lecturer on the Practice of Medicine, Edinburgh. 1842. BIRD, Golding, M.D., F.L.S., Lecturer at Guy's Hospital. 1842. BROWNE, W. A. F., M.D., Superintendent of the Crichton Lunatic Asylum, Dumfries. CARPENTER, W. B., M.D. Edin., Lecturer on Physiology in the Bristol Medical CHARLTON, Edward, M.D. Edin., Newcastle-upon-Tyne. 1841. CHRISTISON, Robert, M.D., Professor of Materia Medica in the University of Edin- DAVID, A. H., M.D. Edin., Three Rivers, Canada. DAVIDSON, William, M.D., Senior Physician to the Glasgow Royal Infirmary. 1841. FISCHER, Theophilus, M.D. 1842. GALL, A. C., Esq., Ripley, Surrey. 1842. GLOVER, Robert M., M.D., Newcastle-upon-Tyne. 1842. GOODSIR, John, Esq., Conservator of the Museum of the Royal College of Surgeons, GRIEVE, James, M.D., Physician to the Dumfries and Galloway Royal Infirmary. GRIFFITH, J. W., M.D., F.L.S., of Finsbury Dispensary, London. 1842. HALL, Marshall, M.D., F.R.S., &c. &c., London. 1841. HARDIE, J. H., M.D. Edin. 1841. HAY, David, M.D., F.R.C.S.E., Edinburgh. 1842. iv HENDERSON, William, M.D., Professor of General Pathology in the University of Edinburgh. 1841. HOCKEN, Edward H., M.D., &c., London. 1842. HOOD, Robert, M.D. Edin., Edinburgh. 1842. HUNTER (the late) James, M.D., Surgeon to the Edinburgh Eye Dispensary. 1841. JEFFREY, J., M.D., Colchester. 1842. KING, T. W., Lecturer at Guy's Hospital, London. 1842. LEITCH, D. Ross, M.D. Edin., Tynemouth. 1841. LYON, W. Esq., Surgeon to the Glasgow Royal Infirmary, and Lecturer on Surgery. 1842. MACLAGAN, Douglas, M.D. Edin., Lecturer on Materia Medica, and Surgeon to the Royal Infirmary, Edinburgh. 1841 and 1842. MACLEOD, William, Esq., Demonstrator of Anatomy, Edinburgh. 1841 and 1842. MACKAY, Eric, M.D. Edin., Birmingham. 1841. MARR, James, M.D., Physician-Accoucheur to the Royal Dispensary, Edinburgh, and Lecturer on Midwifery. 1842. MILLER, James, Esq., Professor of Surgery in the University of Edinburgh. 1841 and 1842. MORRIS, B. R., Esq., A.B., M.B. of Trinity College, Dublin, Physician to the York Dispensary. 1842. MOYLE, M. P., Esq., Helston, Cornwall. 1841. ОMOND, Robert, M.D., F.R.C.S.E., one of the Medical Officers of the New Town Dispensary, Edinburgh. 1841 and 1842. PAGAN, S. A., M.D., F.R.S.E., Edinburgh. 1842. PARKER, Edward, Esq., House-Surgeon to the Northern Hospital, Liverpool. 1842. PAUL, John, M.D., Surgeon to Gray's Hospital, Elgin. 1841. REID, John, M.D. Edin., Professor of Anatomy and Medicine in the University of St Andrews. 1841 and 1842. RENAUD, Frank, Esq. 1842. RICHARDSON, Francis T., M.D. Edin. 1842. ROBARTS, H. P., Esq., Honorary Secretary to the London Medical Society. 1841 and 1842. Ross, James, M.D., Cambusmore, Sutherlandshire. Alex., Esq., Invergordon. 1842. SHAND, William, Esq., Glasgow. 1841. 1842. SMITH, T. and H., Esqs., Chemists, Edinburgh. 1841. SOMERVILLE, Samuel, M.D. Edin., Edinburgh. 1841. SPENCE, James, Esq., Demonstrator of Anatomy, Edinburgh. 1841 and 1842. SPITTAL, Robert, M.D., F.R.S.E., Physician to the Royal Infirmary of Edinburgh. 1842. STARK, James, M.D. Edin., F.R.S.E. 1842. SYME, James, Esq., Professor of Clinical Surgery in the University of Edinburgh, and Surgeon to the Queen. 1841 and 1842. TAYLOR, David J., Esq., Lockerby. 1842. THOMSON, Fraser, M.D. Edin., Surgeon to the Perth Infirmary. 1841. Anthony Tod, M.D., F.R.C.P.L., one of the Physicians to University Hospital, London. 1842. John, Esq., Kilmarnock. 1841 and 1842. 1841. TURNER, R., Esq., Keith. 1841 and 1842. TYTLER, (the late), T. B., M.D. Edin. URE, David, Esq., Dundee. 1841. VOSE, J. R. W., M.D., Physician to the Northern Hospital, Liverpool. 1841. WILLIAMSON, Thomas, M.D., Physician to the Dispensary, Leith. 1841 and 1842. W., M.D. Edin., Cupar-Fife. 1841. WILLIS, Robert, M.D., Physician to the Royal Infirmary for Children, London, and Lecturer on the Practice of Medicine. 1841. ARTICLE I.-On Ligature of the Carotids. By JAMES MILLER, F.R.C.S.E., Lecturer on Surgery, and one of the Surgeons to the Royal Infirmary of Edinburgh. Ir has long been understood that deligation of both carotids, simultaneously, is fraught with most serious danger to the brain. And it may be supposed, that, were circumstances to have occurred, seeming to demand such a proceeding, the surgeon either would have altogether refused to operate, or at all events would have done so reluctantly, and only with a faint hope of thereby saving his patient from instant death, otherwise inevitable. The experience of Sir Astley Cooper had shown that carotids and vertebrals might all be safely tied, one after another, but singly, and with an interval between each deligation, supposed to be sufficient for the establishment of free anastomotic circulation; and it seems to have remained a settled point that operative treatment could not, with prudence and safety, be pushed with greater rapidity in regard to these vessels. Such an impression probably received further encouragement by proofs often occurring to the operating surgeon, how simultaneous pressure over both common carotids, with the view of temVOL. FOR 1842, NO. I. A |