When found, a short time afterwards, he was apparently dead. The surface of his body was cold, his pupils widely - OF Till. BEAD. dilated ami insensible to light, no respiration or motion of the blood percept Himuch scratched and; I-HM! iiowed fmm the right i-il, and the super; < of his neck were gorged. main wound in the nearly from ear to ear, across tin' vertex of the head; and lesser wounds passed i. this great one. The be scalp, formed by these wounds, f cted in ditf'-rent directions. A large portion of the bone seen to be destroyed, and the space left was rilled by coagulated blood. The patient was seen by several surgeons, and so impressed were they that life was exs carried to the tent set apart for the dead.
Twenty-five minutes afterwards, on being again visited, some faint signs of life were observed. T! was a flutter at the wrist, and an occasional sigh. Profuse bleeding from the head followed, and on the which was seen to be mixed with cerebral removed, it was found that the bones forming the x <>f ihe head were destroyed to the extent of t<> square inches. In this was included part of superior angle of the occipital bone, and a part of both tal bones, the sagittal suture being clearly de:' along the centre of one detached piece. Part of this extent of bone was altogether gone, and the rest, ched, was removed. surface of the dura mi. ut not -t one spot at the lateral and posterior of tl; where and from which h. and which was imlu Q brain, WU piece of cerebral i of a n L'14 SURGEKY (>F THE CRIMEAN WAR.
The brain at this part seemed soft and broken depressed bone was elevated, and all loose sc;,lc> removed. The scalp was brought together by suture, and lint wetted in cold water applied. Next day the patient was quite unconscious, lay on his back, and breathed regularly and naturally. His pulse was very and his surface warm and moist. He passed his urine in bed. His pupils were dilated and insensible to light. He could swallow freely. During the two following days his state was unaltered. Both eyes became affected with strabismus. The treatment consisted of purging, cold to the head, and the most sparing diet. On the fifth day, there were some signs of returning consciousness. He tried to change his posture, and crossed his arms on his breast.
His pupils, too, acted feebly, and a profuse perspiration covered the surface of his body. On the following day he again relapsed, and the wound, which had begun to suppurate, now became glazed and dry. When his bowels were got to act freely, he again improved and became conscious. He complained of pain in the head and down the left side of his body. Thus he went on till the eleventh day, bein^ conscious and able to speak. His bowels were carefully kept acting. His pupils had, up to this time, come to contract and expand freely, and the wound was suppurating kindly. He slept much, and expressed a great. desire for food. On the eleventh day he became suddenlv restless and delirious, particularly at night.