an Irish drayman who, without treatment,
worked for forty-seven days after receiving a penetrating wound of the
skull 1/4 inch in diameter and four inches deep. Recovery ensued in
spite of the delay in treatment.
Gunshot Injuries.--Swain mentions a patient who stood before a looking
glass, and, turning his head far around to the left, fired a pistol
shot into his brain behind the right ear. The bullet passed into his
mouth, and he spat it out. Some bleeding occurred from both the
internal and external wounds; the man soon began to suffer with a
troublesome cough, with bloody expectoration; his tongue was coated and
drawn to the right; he became slightly deaf in his right ear and
dragged his left leg in walking. These symptoms, together with those of
congestion of the lung, continued for about a week, when he died,
apparently from his pulmonary trouble.
Ford quotes the case of a lad of fifteen who was shot in the head, 3/4
inch anterior to the summit of the right ear, the ball escaping through
the left os frontis, 1 1/4 inch above the center of the brow. Recovery
ensued, with a cicatrix on the forehead, through which the pulsations
of the brain could be distinctly seen. The senses were not at all
deteriorated.
Richardson tells of a soldier who was struck by a Minie ball on the
left temporal bone; the missile passed out through the left frontal
bone 1/2 inch to the left of the middle of the forehead. He was only
stunned, and twenty-four hours later his intellect was undisturbed.
There was no operation; free suppuration with discharges of fragments
of skull and broken-down substance ensued for four weeks, when the
wounds closed kindly, and recovery followed.
Angle records the case of a cowboy who was shot by a comrade in
mistake. The ball entered the skull beneath the left mastoid process
and passed out of the right eye. The man recovered.
Rice describes the case of a boy of fourteen who was shot in the head,
the ball directly traversing the brain substance, some of which
protruded from the wound. The boy recovered. The ball entered one inch
above and in front of the right ear and made its exit through the
lambdoidal suture posteriorly.
Hall of Denver, Col., in an interesting study of gunshot wounds of the
brain, writes as follows:--
"It is in regard to injuries involving the brain that the question of
the production of immediate unconsciousness assumes the greatest
interest. We may state broadly that if
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