344 
REPORTS OF OASES. 
rection of the zygomatic arch. Removing more of the tissue 
it was found that this immense fracture included the whole of 
the parietal bone on the right side, the temporal and articulating 
surface of the temporal bone, the styloid process of the occi¬ 
pital and the supra-orbital foramen, making a complete com¬ 
minuted fracture of about eight inches in length. Before 
removing the inferior maxilla, the lower jaw was manipu¬ 
lated, which produced great displacement of the fragments 
and much pressure upon the substance of the brain, each 
lateral motion causing the brain to protrude through the 
large opening in the parietal by flattening of the cranial 
wall. 
It was intended to have had the head boiled and a photo¬ 
graph taken of the bones, but in the process the small por¬ 
tions became so detached and pulpy that the effort was 
defeated. 
There exists no doubt that this fracture occuried a con¬ 
siderable time previous to Dr. Bell’s inspection of the horse , 
that the conjunctivitis was directly dependent upon it, as it 
grew worse as the case progressed, and that this mare, with 
her skull crushed, with a fracture through the tempero-max- 
illary articulation, and with great pressure upon the brain, 
performed work, deported herself properly, and contained 
her secret while the purchaser and his veterinarian looked 
on and called her healthy. It is certainly unique, and bears 
out the adage that in lesions of the brain none are so exten¬ 
sive that recovery may not take place, and none so trivial 
that death may not be occasioned. 
TRIKRESOL AND ITS EFFECT IN THE “ MANGE.”* 
By Hugo Engel, M.D., Philadelphia, Pa. 
Although many drugs have been tried as substitutes for 
carbolic acid—as its poisonous character and the irritation 
produced by it makes its general employment objectionable— 
yet this coal tar derivative still maintains its place as a sur¬ 
gical dressing. Corrosive sublimate ruins the instruments, is 
♦From the Medical Summary. 
