438 OnEFFUSION 



it take the form of the part upon which I aded, and often 

 drew it back, to meafure on the outfide the way it had made. 

 At length after having entered half an inch below^ the tem- 

 poral icaly future, the refiftance fuddenly ceafed, and my 

 inftrument entered a hollow part, at the lame moment the 

 blood flowed in great abundance ; when it cealed I drew 

 out the fpatula, which was followed by a fmall quantity. 

 The patient then began to move ftrongly, tried to rife and 

 talked without knowing what he laid. 



'1 he next morning I found him tied in his bed, this 

 method was necelfary, becaufe he endeavoured to riie, as 

 as he faid to go and iight. More blood came away at the 

 dreffing. In the afternoon I found him better, he drank 

 plentifully, and anfwered my queftions : the next morning, 

 being the fourth after the accident, he had perteftly reco- 

 vered his fenfes, and from that time continued to mend. As 

 his head had been much wounded, many abfceffes were 

 formed on the exterior, the laft was on the piece of the pa- 

 rietal bone already fpoken of, and as it had no connedlion 

 and was vacilating, I eafily took it away, the dura mater 

 recovered and followed the motion of the brain : the wound 

 had fuppurated and the cicatrix was much advanced, when 

 the patient went out the 28th of December. 



During the cure the patient felt no pain in that part of 

 the head where I had feparated the dura mater ; the cure of 

 this trepan was neither longer or more difficult than ufual, 

 if we except the complication from the gatherings, which 

 are foreign to the fubjedt. 



i cited Mr. Marefchal's obfervation, becaufe the cafe is 

 fimilar to that which makes the fubjedl: of this eHIiy. Mr. 

 Marefchal's patient had a fracture which crofled the pari- 

 etal and temporal bones : mine had fradures in the fame 

 bones, and fame places ; there was alfo another, and fome 

 very ferious bruifes, which made the difcafe complicated. 

 Mr. Marefchal, trepanned his patient twelve times : I cur- 

 ed mine with one operation, and by a method which to 

 the beft of my knowledge, had never before been tried. 



DEVEZE. 



