gns of concussion followed, the
bullet, which had traversed the head, retained only sufficient force to
perforate the skin of the neck and bury itself in the posterior
triangle without even fracturing the clavicle, against which it
impinged. In men struck at a shorter range, signs of concussion, often
followed by transient radiation signs of injury to the parietal lobe,
were common. These signs were, I think, not as a rule due to surface
haemorrhage, since they were of a purely paralytic nature and not
irritative. Several cases with partial or complete hemiplegia,
hemiplegia and aphasia, or facial paralysis are recorded below.

(56) _Frontal injury_.--Wounded at Magersfontein. In prone
position when struck, distance 700 to 800 yards. _Entry_
(Mauser), at the margin of the hairy scalp above and to the
left of the frontal eminence; course, through anterior third of
left frontal lobe, roof of orbit, obliquely across line of
optic nerve, inner wall of orbit, nose, right superior maxilla
piercing alveolar process, and passing superficial to inferior
maxilla: _exit_, one inch anterior to angle of jaw. The bullet
again entered the posterior triangle of the neck, struck the
right clavicle, and turned a somersault, so that its base lay
deepest in the wound.

The patient was unconscious for a short time, suffered with
general headache and giddiness, and was somewhat irritable. On
the third day the pulse was 70, temperature normal, and he was
sent to the Base. There was considerable proptosis, oedema
and discoloration of the eyelid, and subconjunctival
ecchymosis, but the movements of the eyeball could be made and
light could be distinguished. The sense of smell was apparently
absent. A week later the headache was gone, the pulse numbered
80 to 90, the temperature was normal, he slept well, sat up in
bed and smoked, took his food well, and exhibited no cerebral
symptoms. He could detect the smell of tobacco, but not as a
definite odour.

No further symptoms were noted, the sense of smell returned,
the swelling of the eyelid and proptosis decreased, but the
upper lid could not be raised. When the lid was drawn up, there
appeared to be vision at the margins of the field with a large
central blind spot. The patient left for England at the end of
a month apparently well.

(57) _Gut