and the external opening in the puggaree
a transverse slit.

(58) _Transverse superficial perforating frontal
injury._--Wounded at Graspan. Aperture of _entry_
(Lee-Metford), at upper and outer part of left frontal
eminence; _exit_, at margin of hairy scalp over outer third of
right eyebrow. On the second day the patient complained of
giddiness and headache; the pulse was 60. He was then walking
about. The wounds were explored and typical entry and exit
apertures discovered in the frontal bone from which cerebral
matter was protruding. Both openings were enlarged (Mr. S. W.
F. Richardson) with Hoffman's forceps, and a considerable
number of splinters of the inner table were removed from the
aperture of entry.

The headache gradually passed off, but there was throbbing
about the scar, and pulsation was visible for some three weeks,
after which no further symptoms were observed.

(59) _Oblique frontal gutter fracture._--Wounded at
Magersfontein. _Entry_ (Mauser), 1/2 an inch to right of median
line of forehead, 3/4 of an inch from the margin of the hairy
scalp; _exit_, about 3/4 of an inch anterior to the lower
extremity of the right fissure of Rolando. Weakness of left
facial muscles, especially of angle of mouth. No further motor
symptoms. Wounds explored (Mr. Stewart); numerous fragments of
bone and some pulped cerebral matter were removed. Patient
developed no further signs; the paralysis, although improved,
did not completely disappear. The man a year later was still on
active duty, the paralysis almost well, and no further ill
effects of the injury remained.

In the fronto-parietal or parietal regions, signs of damage to the
cortical motor area were seldom absent, sometimes evanescent, at others
prolonged. In some cases the signs were permanent and followed by
evidence of local sclerosis.

The motor area on both sides of the brain was sometimes implicated; thus
in a child shot at Kimberley the bullet entered in the right frontal
region, and emerged to the left of the line connecting bregma and inion
a little behind its centre. Paralysis of both lower extremities
resulted, power rapidly returning in the right, while incomplete
paralysis persisted in the left.

In only one instance (see case 73, p. 292) was any permanent sensory
defect observed, and the mental condition o