The wounds were explored on the fourth day (Major Moffatt,
R.A.M.C.) and a gutter fracture involving the frontal and
parietal bones exposed. The dura-mater was lacerated and brain
matter from the frontal lobe escaped freely. A large number of
bone fragments were removed. On the fourth day after the
operation, the patient became unconscious with right-sided
twitchings, but rapidly improved, and at the end of three
weeks, except for slight headache, he was well, the power of
the right side being good. Ten months later he rejoined his
regiment in South Africa, no apparent ill effects remaining.

(62) _Fronto-parietal perforating fracture._--Wounded at
Magersfontein. _Entry_, within the margin of the hairy scalp;
_exit_, behind and below the left parietal eminence, the track
crossing about the centre of the fissure of Rolando. Right
hemiplegia, the lower half of the face only being involved. The
wounds were explored and a large number of fragments of bone
and a quantity of pulped cerebral matter removed. Six days
later the hemiplegia persisted, speech was slow, headache was
troublesome and the pulse not above 45. After this, gradual
improvement took place, and a month later the lower extremity
and face had regained good power. The upper extremity remained
flaccid and paralysed, except for some slight power of movement
of the shoulder.

(63) _Fronto-parietal perforating fracture._--Wounded at
Magersfontein. _Entry_ (Mauser), 2-1/2 inches from the median
line, 3-1/2 inches from the occipital protuberance; _exit_, 3/4
of an inch from the median line, 4-1/2 inches from the
glabella; sanious fluid escaped from both ears. There was left
facial paralysis, complete paralysis of the left upper
extremity, and partial paralysis of the left lower extremity.
The patient was deaf, drowsy, and the pulse 45.

Exploration showed the entry wound to be in the parietal, the
exit to involve both parietal and frontal bones. The openings
were enlarged, and a number of fragments of bone, together with
pulped cerebral matter and blood-clot, were removed. The wound
healed, except at the front part, where a small prominence
suggested a hernia cerebri.

The patient improved slowly; fourteen days after the operation
he could hear well, and the flow from the ear