well,
with a firm hand-grip, and the wounds soundly healed.

(71) _Frontal injury. Secondary abscess._--Wounded at Modder
River. Aperture of _entry_ (Mauser), just external to the
centre of the right eyebrow; _exit_, above the centre of the
right zygoma. The wound did not render the man immediately
unconscious, but he lost all recollection of what had happened
to him for the next three or four days. The wounds were
explored on the second day, at which time the patient was in a
semi-conscious drowsy state, the pupils contracted and the
pulse slow. A number of fragments of bone and pulped brain
matter were removed.

Subsequently to the operation the patient showed more signs of
cerebral irritation than usual, lying in a semi-conscious state
and more or less curled up. He answered questions on being
bothered. He improved somewhat, and was sent to the Base,
where the improvement continued, but he suffered much from
headache.

Later the headache became much more severe, and eleven weeks
after the injury the man complained of great pain both locally
and over the whole right hemisphere; he lay moaning, with the
temperature subnormal, and the pulse very slow. At times there
was nocturnal delirium.

The wound had remained closed and apparently normal, but now a
small fluctuating pulsating nipple-like swelling developed in
the situation of the aperture of entry. This was incised, and
two ounces of sweet pus evacuated (Professor Dunlop). A tube
was introduced, and removed later on the cessation of
discharge.

Removal of the tube was followed by a recurrence of the same
symptoms, and this occurred on no fewer than six occasions
whenever the wound closed.

At the end of twenty weeks the patient appeared quite well, the
wound had been closed six weeks, the previously irritable
mental state was replaced by placidity, and he was sent home.

_Diagnosis._--The importance of proper exploration of scalp wounds to
determine the condition of the bone has already been insisted upon. The
localisation of the position and extent of the injury to the cranial
contents depended simply on attention to the symptoms, and needs no
further mention here.

_Prognosis._--This subject can only be very imperfectly considered at
the present time, since only the more or less immed