Goalundo Dispensary.—Compound Fracture of the Cranium, Accompanied by Symptoms of Compression—Trephining—Recovery

operations of a similar nature performed by him. A few months ago I had occasion to trephine, after compound fracture with symptoms of compression, with a result which bears out Dr. Freyer's opinion as to the advisability of operation in such cases ; moreover, although operation was not performed early, yet it proved successful. The sequence of events in my case exactly corresponded with those of the one that was recorded; the patient was struck on the head with a latti, fell down insensible, recovered consciousness, then became insensible again gradually, owing to compression from haemorrhage taking place on the surface of the brain after the receipt of the injury. The symptoms of compression were well marked and continuous, and had lasted some days? before admission. Recovery was greatly aided by the care bestowed on the after-treatment by Native Doctor Kherody Chunder Gosamy, who has furnished me witfK, the following notes :? Adoo Mandel, aged 45 years, was admitted into the Goalundo Hospital on the 6th July 1878, in an insensible