Two Cases of Compound Depressed Fracture of Frontal Bone

down. He remembers being driven to the Infirmary and being carried to the ward, and was able to give his name and address; and he recognised his father about an hour later, but afterwards he lapsed into semi-consciousness, and was in that state when I saw him between 9 and 10. He was then restless, and had vomited; there were no twitchings or convulsions; pupils were equal and reacted to light; there was no bleeding from nose or ears. I found a depressed fracture of the frontal bone, with a wound near the middle line just above the nose, the wound being vertical in direction and i? inches long. The patient was put under chloroform, and I made an incision horizontally for about two inches on each side from the lowest part of the wound, and turning back the flaps, I found a stellate fracture radiating from the glabella and extending above the left orbital plate further than on the right side, the most central part being most depressed. I trephined with a medium-sized trephine just to the left of the middle line and elevated satisfactorily the whole of the depressed bone. The crista galli and the superior longitudinal sinus prevented my passing the elevator right across the middle, but the fragments on the right were movable, and when I left the patient I thought all was tolerably level. The dura mater apparently was not broken.