[ #763 .] 
Case X. I vifited Pat. Hayes, who, thirteen days’ before, 
had received a blow which had made a profound depreffion 
on the pofterior, and near the fuperior part of the right pa- 
rietal bone, and very near its junction with the occiput. It 
was attended with no wound, but a {mall perforation fcarce 
fufficient to admit the point of a probe. In fome days fymp- 
toms of a depreffed bone came on. I found the man with 
a flow, weak, but regular pulfe. He was quite comatofe, and 
could not articulate. Upon pafling a fine probe through the 
little perforation, I found the bone had been crafhed into {mall 
bits, and was for fome time at a lofs what to do, on account 
of the fituation of the man and the nature of the injury. 
I declared to his friends that I ftrongly apprehended the cafe 
mortal, but would do what depended on me if they confented. 
Upon removing the fcalp, the bone had been fo far beat in that 
I concluded I fhould find the membranes cut through. Could 
I raife any part of the fracture I faw to a certainty I could 
remove the whole, the injury being confined to the circum- 
-{cribed part. With my forceps, probe and elevator, fucceed- 
ing each other, I was fortunate enough to remove one {plint. 
This afforded me more room ; and fo by degrees, and with fome 
patience, I cleared the dura mater of all incumbrance, with- 
‘out recurring to the trephine. It was greatly deprefled, and 
though wounded in two or three places by the point of the 
bone, yet no where cut through, but difcoloured and blackifh. 
He opened his eyes after this, and appeared lighter. Antifep- 
tics and the bark were not omitted, as well as a generous 
diet ; that is to fay, ftrong feafoned broths, fago, or gruel with 
wine, and wine whey, at times. In fome time the dura 
VOte) mater 
