s had ceased. The
facial weakness was slight, the upper extremity was still
powerless, but he could move the lower and draw it up in bed.
At the end of six weeks the wound had healed, and he was got up
and dressed.

At the end of two months he was well enough to be sent home;
there was only a trace of facial weakness; the right upper
extremity, however, was powerless and slightly rigid,
occasional twitchings occurring in it. Considerable power had
been regained in the lower extremity, so that the patient could
walk with help, but foot-drop persisted; the gait was spastic
in character, the reflexes were much exaggerated, and there was
marked clonus. The patient was sensible, but his manner
suggested some mental weakness. Both the openings in the skull
were closed by very firm material, apparently bony.

This patient became a Commissionaire some ten months later. His
mental condition is normal, and loss of memory seems confined
to the events immediately following the injury. The lower
extremity has improved, but the upper is useless.

(64) _Parietal injury: retained bullet._--Wounded at
Paardeberg. Aperture of _entry_ (Mauser), 1 inch diagonally
below and anterior to left parietal eminence. No exit. The
patient was trephined by the surgeons of the German ambulance
at Jacobsdal.

Sixteen days later he arrived at the Base. A circular pulsating
trephine opening was then to be felt beneath the flap, but no
information was forthcoming as to the bullet. The patient
could speak, but lost words and the gist of sentences; he
could remember nothing as to himself since the day of the
injury. There was right facial weakness; he could not close the
right eye or whistle, but there was little apparent want of
symmetry; there was weakness in the grip of both hands, more
marked on the right side; both lower extremities could be
moved. The reflexes were normal, although the left limb was
slightly rigid. The pupils were equal, reflex normal; slight
nystagmus. Pulse 72, small and regular. Temperature normal.
Rapid improvement followed.

During the fourth week the temperature rose to 103 deg., and
remained elevated for six days, but no local or general signs
appeared; at the end of five weeks there was little evidence of
the paralysis rem