y with his
hand, and says he has to repeatedly look down when walking. He
thinks no improvement has taken place during the last month.
The accompanying fields of vision show the loss quite
characteristically.

(68) _Injury to left occipital lobe._--Wounded at Paardeberg.
_Entry_ (Mauser), through the lambdoid suture on the right side
of the mid line. Bullet retained, but a palpable prominence
behind the left ear suggested its localisation.

The patient became at once unconscious and remained so for
several days. He was completely blind; vision returned later,
but only to a limited degree. There was complete loss of
memory as to the events of the day.

When admitted at Rondebosch into No. 3 General Hospital the
condition was as follows: The field of vision is limited, and
examination shows right homonymous hemianopsia. When any one
comes into the tent the patient sees a shadow only until his
bed is reached.

When spoken to the patient 'thinks and thinks,' and then
apologises for not answering, saying he will remember at some
future time. He is absolutely unable to remember times, names,
or localities, but places his hand to his head and appears to
think deeply in the effort to recall them. Occasionally when
you go into his tent he suddenly remembers something he has
been trying to think of for some days, and will tell you.

A fortnight later after an attack of influenza the patient was
not so well, and vision was apparently becoming more impaired.

An incision was made (Mr. J. E. Ker) so as to raise a flap the
centre of the convexity of which was 2-1/2 inches behind the
left external auditory meatus. A slight prominence and a
fissure was discovered in the temporal bone, and over this a
trephine was applied. On removal of the crown of bone the
bullet was discovered with the point turned backwards (having
evidently undergone a partial ricochet turn) on the upper
surface of the petrous bone, just above the lateral sinus. The
dura-mater was healed but thickened, and some clot upon its
surface was removed.

The wound healed per primam, and a rapid recovery was made. Ten
days later a running water-tap was able to be detected 120
yards from the tent door. The hemianopsia however persisted.

The following letter, dictated by t