[' 462 ] 
happy confequences of it when performed in the jiz/? inflance. 
He will now fee what may be hoped for from nature, even 
in the moft deplorable cafes, from negleé or delay. 
Case IX. I was fent for to Pat. Kelly, who had received 
repeated blows on the left parietal bone, which produced a 
very extended fracture, with a flight contufed wound of the 
integuments. He had been attended for fome time by a young 
man in the neighbourhood. In the courfe of about ten days 
he became heavy and drowfy; the complaints increafed, and 
when I was fent for he was comatofe, languid and oppreffed ; 
fo much fo that I apprehended any operation ufelefs, and had 
fome thoughts of immediately returning. But reflecting on 
the great refources of nature, and that it would be in fome 
fort criminal net to difcharge my duty, I removed the integu- 
ments on the interior part, where the depreflion was greatedft, 
and dire@ly applied the largeft crown I had. On removing 
the piece I introduced the elevator, raifed the deprefled parts, 
and was fatisfied, from the extent of the injury, that many 
pieces of bone would come away. Immediately after this he 
opened his eyes, knew me, and fpoke. I left directions for ma- 
naging the dreflings, and ordered fome medicines of the nervous 
tribe. In eight days after I again vifited him, and found a 
confiderable part of the bone loofe. I made a flight incifion 
over it, and extracted it with my forceps. The next day he 
found a weaknefs of the neck and arm of the oppofite fide, 
and by night it attacked that entire extremity. Ina few days 
after two more pieces of bones were removed, and again another. 
He laboured under this partial paralyfis for about fifteen days, 
and then gradually recovered. 
Cass 
