60 Injuries of Bone. 



the skull of a man who lived for six days after having sliot 

 himself with a pistol in the right temple. 



Sir Charles Bell saw the patient the day after the injury, and 

 found him "more rational than he had been for some weeks." His face 

 was enormously swollen and distorted. An incision was made over the 

 left temple. After raising the bone, the ball was found flattened and 

 was extracted. The patient survived for four days after this. 



There is an aperture, 3| inches by \ inch, at the anterior 

 inferior angle of the right parietal bone. The chipping off 

 within shows that the ball had entered there. On the left side,, 

 above the outer end of the left supraciliary ridge, the bone is 

 extensively broken and splintered, and more so externally than 

 internally, indicating that the shot had struck that part from 

 within. B. C. 1. 2. M. 12. 



3. 51. Bullet Wound of the Skull. — Four pieces of a soldier's 

 skull and a round bullet — Waterloo case. 



"Here the ball entered the brain, and, making its exit, drove up 

 portions of the skull, which were driven up by the ball which lay within 

 the brain {sic). In extracting the ball a portion of the brain came out. 

 The patient did well, complaining from the first only of headache. " 



B. C. XVII. 4. 



3. 51a. Bullet Wound of the Skull.— Oil painting by Sir 



Charles Bell, showing the above. 



" The ball entered in the forehead, penetrated the skull and drove- 

 up the bone, elevating two portions at an angle. The scalp was cut upon 

 at this part, the bone raised and the ball extracted. ... I .... do not 

 know his fate." B. C. XVll. 10. 



3. 52. Bullet Wound of the Skull.— Portions of a soldier's 

 skull, fractured by a bullet wound. 



The patient was struck with a musket ball, which caused a circular 

 depression formed by these fragments, and they were removed mthout the 

 aid of a trephine. "The man had no bad symptoms, and did well."' 

 (Probably a spent shot.) ^ Q x\u 7a 



