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e left arm。 For two weeks there was drowsiness； and the man slept considerably。 He was apathetic； and for many days passed urine in bed。 He could not recognize his wife or old comrades； and had also difficulty in recognizing common objects and their uses。 The most remarkable feature was the loss of all memory of his life for twenty years before the accident。 As time went on； the period included in this loss of memory was reduced to five years preceding the accident。 The hemiplegia persisted； although the man was able to get about。 Sensibility was lost to all forms of stimuli in the right upper eyelid； forehead； and anterior part of the scalp； corresponding with the distribution of the supraorbital and nasal nerves。 The cornea was completely anesthetic； and the right cheek； an inch and a half external to the angle of the nose； presented a small patch of anesthesia。 There was undue emotional mobility； the patient laughing or crying on slight provocation。 The condition of mind…blindness remained。 It is believed that the spout of the oil…can must have passed under the zygoma to the base of the skull； perforating the great wing of the spheroid bone and penetrating the centrum ovale； injuring the anterior fibers of the motor tract in the internal capsule near the genu。〃
Figures 192 and 193 show the outline and probable course of the spout。
Beaumont reports the history of an injury in a man of forty…five； who； standing but 12 yards away； was struck in the orbit by a rocket； which penetrated through the spheroidal fissure into the middle and posterior lobes of the left hemisphere。 He did not fall at the time he was struck； and fifteen minutes after the stick was removed he arose without help and walked away。 Apparently no extensive cerebral lesion had been caused； and the man suffered no subsequent cerebral symptoms except； three years afterward； impairment of memory。
There is an account given by Chelius of an extraordinary wound caused by a ramrod。 The rod was accidentally discharged while being employed in loading； and struck a person a few paces away。 It entered the head near the root of the zygomatic arch； about a finger's breadth from the outer corner of the right eye； passed through the head； emerging at the posterior superior angle of the parietal bone； a finger's breadth from the sagittal suture； and about the same distance above the superior angle of the occipital bone。 The wounded man attempted to pull the ramrod out； but all his efforts were ineffectual。 After the tolerance of this foreign body for some time； one of his companions managed to extract it； and when it was brought out it was as straight as the day it left the maker's shop。 Little blood was lost； and the wound healed rapidly and completely； in spite of this major injury the patient recovered。
Carpenter reports the curious case of an insane man who deliberately bored holes through his skull； and at different times； at a point above the ear； he inserted into his brain five pieces of No。 20 broom wire from 2 1/16 to 6 3/4 inches in length； a fourpenny nail 2 1/4 inches long； and a needle 1 5/8 inches long。 Despite these desperate attempts at suicide he lived several months； finally accomplishing his purpose by taking an overdose of morphin。 MacQueen has given the history of a man of thirty…five； who drove one three…inch nail into his forehead； another close to his occiput； and a third into his vertex an inch in front and 1/4 inch to the left of the middle line。 He had used a hammer to effect complete penetration； hoping that death would result from his injuries。 He failed in this； as about five weeks later he was discharged from the Princess Alice Hospital at Eastbourne； perfectly recovered。 There is a record of a man by the name of Bulkley who was found； by a police officer in Philadelphia； staggering along the streets； and was taken to the inebriate ward of the Blockley Hospital； where he subsequently sank and died； after having been transferred from ward to ward； his symptoms appearing inexplicable。 A postmortem examination revealed the fact that an ordinary knife…blade had been driven into his brain on the right side； just above the ear； and was completely hidden by the skin。 It had evidently become loosened from the handle when the patient was stabbed； and had remained in the brain several days。 No clue to the assailant was found。
Thudicum mentions the case of a man who walked from Strafford to Newcastle； and from Newcastle to London； where he died； and in his brain was found the breech…pin of a gun。 Neiman describes a severe gunshot wound of the frontal region； in which the iron breech…block of an old…fashioned muzzle…loading gun was driven into the substance of the brain； requiring great force for its extraction。 The patient； a young man of twenty…eight； was unconscious but a short time； and happily made a good recovery。 A few pieces of bone came away； and the wound healed with only a slight depression of the forehead。 Wilson speaks of a child who fell on an upright copper paper…file； which penetrated the right side of the occipital bone； below the external orifice of the ear； and entered the brain for more than three inches； and yet the child made a speedy recovery。
Baron Larrey knew of a man whose head was completely transfixed by a ramrod； which extended from the middle of the forehead to the left side of the nape of the neck； despite this serious injury the man lived two days。
Jewett records the case of an Irish drayman who； without treatment； worked for forty…seven days after receiving a penetrating wound of the skull 1/4 inch in diameter and four inches deep。 Recovery ensued in spite of the delay in treatment。
Gunshot Injuries。Swain mentions a patient who stood before a looking glass； and； turning his head far around to the left； fired a pistol shot into his brain behind the right ear。 The bullet passed into his mouth； and he spat it out。 Some bleeding occurred from both the internal and external wounds； the man soon began to suffer with a troublesome cough； with bloody expectoration； his tongue was coated and drawn to the right； he became slightly deaf in his right ear and dragged his left leg in walking。 These symptoms； together with those of congestion of the lung； continued for about a week； when he died； apparently from his pulmonary trouble。
Ford quotes the case of a lad of fifteen who was shot in the head； 3/4 inch anterior to the summit of the right ear； the ball escaping through the left os frontis； 1 1/4 inch above the center of the brow。 Recovery ensued； with a cicatrix on the forehead； through which the pulsations of the brain could be distinctly seen。 The senses were not at all deteriorated。
Richardson tells of a soldier who was struck by a Minie ball on the left temporal bone； the missile passed out through the left frontal bone 1/2 inch to the left of the middle of the forehead。 He was only stunned； and twenty… four hours later his intellect was undisturbed。 There was no operation； free suppuration with discharges of fragments of skull and broken…down substance ensued for four weeks； when the wounds closed kindly； and recovery followed。
Angle records the case of a cowboy who was shot by a comrade in mistake。