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Wilkins' permission from Journal of Neurosurgery, March 1964, pages 240-244.
The Edwin Smith Surgical Papyrus, dating from the seventeenth century B.
"The scribe of over 3,500 years ago, to whom we owe our present manuscript, could have had little consciousness of the momentous decision he, or possibly some one for him, was making when he pushed aside the ancient Surgical Treatise, then already a thousand years old, while his own copy was still incomplete. laid down his pen and pushed aside forever the great Surgical Treatise he had been copying, leaving 15 inches (39 cm.) bare and unwritten at the end of his roll."¹ Of the 48 cases described in the Edwin Smith Papyrus, 27 concern head trauma and 6 deal with spine trauma.3 Of the 27 head injuries, 4 are deep scalp wounds exposing the skull, and 11 are skull fractures. With the kind permission of the University of Chicago Press.
He had copied at least eighteen columns of the venerable treatise and had reached the bottom of a column when, pausing in the middle of a line, in the middle of a sentence, in the middle of a word, he . "The latter, according to our present day terminology would be classified as follows: two compound linear fractures; four compound depressed fractures; four compound comminuted fractures; and one comminuted fracture without external wound. Case Two Title: Instructions concerning a [gaping] wound [in his head], penetrating to the bone.
Thou shouldst [tre]at it afterward with grease, honey, and lint every day, until he recovers...Gloss: As for: "Moor (him) at his mooring stakes," it means putting him on his customary diet, without administering to him a prescription.Case Four Title: Instructions concerning a gaping wound in his head, penetrating to the bone, (and) splitting his skull.Changes in bodily functions are also described in association with injuries of the cervical spine.Case 31 contains the first description of quadriplegic, urinary incontinence, priapism, and seminal emission following cervical vertebral dislocation.
Gloss: As for: "Two strips of linen," [it means] two bands [of linen which one applies upon the two lips of the gaping wound in order to cause that one join] to the other.