Abscess found in right hemisphere, and fungus growth on surface of the dura mater. 2. Depressed fracture of posterior part of right parietal. Three days afterwards dilatation of right pupil and headache, double vision, fever, &c. Had leeches to temples, and been bled previously. Trephine applied. Small part of dura mater sloughy, and covered with lymph. Small quantity of pus between dura mater and bone. Considerable bleeding from vessels of scalp. Calomel (gr ij.) every three hours, and antimonials every two hours. A week after operation, worse, and bleeding to 30 onnces ordered, with calomel and antimony repeatedly. Jaundice before death by coma on the llth day from operation, and 16th from injury. Membranes of brain found inflamed, and abscess in the posterior lobe extending to place of injury.
3. Compound depressed fracture of the left temporal bone. Some loos, fragments removed 4 days afterwards. On the 14th day jaundice and delirium, and 7 days afterwards death. Treatment not stated. " A piece of the internal table was found in the cavity of an abscess, the size of a walnut, at the seat of injury.'' 4. Bone, to a small extent, denuded by shell wound. Memory impaired on the 16th day, he was also stupid, had, in succession, pain in the head, dilated and rigors. On incision of the scalp, only a very small scale ofbone found loose, and was removed. Next day pus and air escaped at each beat of the heart by the parieto-frontal suture, which had been laid bare by the explorative incision.
Head symptoms increased. Trephined. Part of inner table found depressed and detached. Dura mater inflamed, but entire. Two days on 7th ilay from operation, and 24th from injury, l-arge abscess found in centr here, communicating with th> 1, and the surface of the was coated with pu>. 5. Compound comminuted and depressed fracture of anterior inferior angle.-alone for 3 days. Journey from hospital exhausted him much. On 4th day (next alter joum Ifl of compression. Tn-phincd, and much bone which was d and IT. 'ken, removed. Dura mater lacerated, and lymph effused on in. Sensibility returned when the bone was elevated, and he improved headache and intolerance of light. He then I if " something gave way in his head," and a hernia appeared.
He got worse, aud finally sank comatose on the 5th day after operation, aud Oth from injury. Dura mater found lacerated and sloughy; brain below place of injury softened, and a Urge abscess in the right anterior lobe of the brain. Pus over whole external surface of right hemi-i -d fracture of the middle of the frontal bone by shell. Headache and constitutional disturbance. Trephined on the 6th day, and depressed aud detached bone elevated. Dura mater slightly lacerated. Lost power of utterance 12 days after operation, and notwithstanding active treatment, got rapidly wors.::". paralysis of the sphincters and bladder, coma and death h day from operation, and 22nd from injury. Previous to death, a trochar was inserted to the depth of an inch, into the brain, in the disappointed hope of eva.
Lymph was found deposited in the arachnoid, and much wrum in th. " It seems worth noting that the symptoms in emed to have resulted from a nearly pure attack of with th.-e observed in many cases abscess of the brain was the maip post-mortem lesion found/ 7. Shell wound denuding small part of frontal bone. Very little complaint >-as seized with headache, and it little Treatment for a fortnight by calomel, purgatives, tartar emetic, and low di ' linir. He j,i>t worse became ic. On the iry, and the 21th fmr, i>ad symptoms, an exploration was made, which discovered a piece of the outer tahle loose, at > ing removed, the inner table was seen to turrd and illegible in the scan of the first