There was a terrible
gap in the scalp from the superciliary ridge to the occipital
bone, and, though full of clots, the wound was still oozing. In a
cloth on a bench opposite were rolled up a portion of the malar
bone, some fragments of the os frontis, one entire right parietal
bone, detached from its fellow along the sagittel suture, and
from the occipital along the lambdoidal suture, perhaps taking
with it some of the occipital bone together with some of the
squamous portion of the temporal bone. This bone was as clean of
soft parts as if it had been removed from a dead subject with a
scalpel and saw. No sight of the membranes or of the substance of
the brain was obtained. The piece of cranium removed was 6 3/4
inches in the longitudinal diameter, and 5 3/4 inches in the
short oval diameter. The dressing occupied an hour, at the end of
which the patient arose to his feet and changed his clothes as
though nothing had happened. Twenty-six years after the accident
there was slight unsteadiness of gait, and gradual paralysis of
the left leg and arm and the opposite side of the face, but
otherwise the man was in good condition. In place of the parietal
bone the head presented a marked deficiency as though a slice of
the skull were cut out.
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