honest. Afterward he became noisy,
self-asserting, sharp, and seemingly devoid of moral sense or honesty.
These new traits developed immediately, and more strikingly so soon as
convalescence was established.

Bergtold quotes a case reported in 1857 of extreme injury to the
cranium and its contents. While sleeping on the deck of a canal boat, a
man at Highspire was seriously injured by striking his head against a
bridge. When seen by the surgeon his hair was matted and his clothes
saturated with blood. There was a terrible gap in the scalp from the
superciliary ridge to the occipital bone, and, though full of clots,
the wound was still oozing. In a cloth on a bench opposite were rolled
up a portion of the malar bone, some fragments of the os frontis, one
entire right parietal bone, detached from its fellow along the sagittel
suture, and from the occipital along the lambdoidal suture, perhaps
taking with it some of the occipital bone together with some of the
squamous portion of the temporal bone. This bone was as clean of soft
parts as if it had been removed from a dead subject with a scalpel and
saw. No sight of the membranes or of the substance of the brain was
obtained. The piece of cranium removed was 6 3/4 inches in the
longitudinal diameter, and 5 3/4 inches in the short oval diameter. The
dressing occupied an hour, at the end of which the patient arose to his
feet and changed his clothes as though nothing had happened. Twenty-six
years after the accident there was slight unsteadiness of gait, and
gradual paralysis of the left leg and arm and the opposite side of the
face, but otherwise the man was in good condition. In place of the
parietal bone the head presented a marked deficiency as though a slice
of the skull were cut out. The depressed area measured five by six
inches. In 1887 the man left the hospital in Buffalo with the paralysis
improved, but his mental equilibrium could be easily disturbed. He
became hysteric and sobbed when scolded.

Buchanan mentions the history of a case in a woman of twenty-one, who,
while working in a mill, was struck by a bolt. Her skull was fractured
and driven into the brain comminuted. Hanging from the wound was a bit
of brain-substance, the size of a finger, composed of convolution as
well as white matter. The wound healed, there was no hernia, and at the
time of report the girl was conscious of no disturbance, not even a
headache. There was nothing indicative of the receptio