feb Beez’ fl 
convinced that no fracture was there. I interrogated him clofely. 
He told ‘me the leaft noife difturbed him, and he imagined that 
found was conveyed through the fide of his head, as well as 
through his ears. I now more narrowly infpeéted the contu- 
fion on the fide of the head, which had hitherto been drefled 
with a comprefs dipped in fpirits only. I thought I felt an 
obfcure flu€tuation: at any rate the fymptoms determined me 
to open this part. But what was my furprife when I found 
the bone underneath not only fractured but beat into {mall 
pieces, at the point of percuffion. I trepanned on the fpot; re- 
moved bits of bone and raifed others to their level. After 
this every thing went on well, except the wound at top, which 
threw off feveral exfoliations, and remained open many days 
after the fractured parts healed. This man became as ftout 
and well as poflible. 
Arter thefe proofs, that even in many fraCtured {kulls the 
operation of trepanning may be difpenfed with, what pretence 
can we offer for trepanning in wounds of the cranium infli€ted 
with incifive inftruments? I know of none that can juftify fo 
-violent.an outrage to nature, except fymptoms of extrdvafa- 
tion appear, which I believe very feldom happen where the frull 
itfelf is injured. 
Case VJ. Edward Power received a defperate wound ofa 
back fword, extending from the top of the coronal bone to the 
orbit of the left fide, forming an extended and frightful chafim, 
in which were included the bone, membranes and brain. It 
bled 
