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fhould be confined, it has been fince adopted; in almoft, every 
fevere injury of the head, accompanied} with ‘untoward; fymp- 
toms, To point out with perfpicuity,and;precifion;the cafes 
in which it can alone be ufeful zo) the patient is the. object of 
this paper. Thefe obfervations ‘may be arrarngéd| under two 
articles—Fra€tures of the Cranium, and; Depofits jon, the Sur- 
face of the Brain or on its Membranes. Yet, éven in, the, cafe, 
of fractures, long experience has convinced ‘me that many, of. 
them require no operation. As this is an object.of, great mo- 
ment, I fhall be as clear, and concife.as_ podflible.,,To.,this 
purpofe I have: felected three out of .a great number,of cafes 5 
and the rather becaufe each had its panticular Aymptoniss though: 
all tending to the fame point. 
Case I. Mrs. Grogan+fell from.a window,into the ftreet;, 
and. received,-a- violent, contufion on the,/front.,of the coronal 
bone. 1,faw. her’ the next’ morning,’ and; found.,a confiderable 
tumour, which to the’ touch; feemed to,,contain fome fluid ; 
but,as I had feen, many fimilar,;ones fubfide, in four or, five’ 
days, by the, ufe of comprefles wet in fpirits, 1 treated this in 
the fame manner... The {welling however remained, and in five 
days I propofed opening it; which, fhe would not permit. The 
- fixth day fhe again fent for me; the tumour was {till the fame, 
but the fluctuation not fo fenfible:. I laid open the part, andia 
good deal of coagulated blood was difcharged. She complained. 
all that and the next day of pain; anda thin bloody {anies: 
came from the wound:.I found not only the bone bare,. 
but a confiderablesfra@ture, with fome’ depreflion. I prefled 
Vo. IV. x with: 
