ura was discovered, and
cerebro-spinal fluid escaped. A piece of the inner table of the
skull (fig. 63), 3/4 by 1/3 an inch in size, was discovered
projecting downwards vertically into the brain. This latter was
removed and the wound closed. Healing by primary union
followed, and no further symptoms were observed.

[Illustration: FIG. 63.--Fragment of Inner Table depending
vertically from lower margin of puncture shown in fig. 62. The
centre was perforated. Exact size]

(51) _Transverse frontal wound._--Wounded at Paardeberg. The
man was sitting down at the time he was struck, in the belief
that he was out of the range of fire. The _entry_ and _exit_
wounds were almost symmetrical, placed on the two sides of the
forehead at the margin of the hairy scalp, 2-1/4 inches above
the level of the external angular processes of the frontal
bone. The patient lost consciousness for about half an hour,
then rose and walked half a mile to the Field hospital. The
wounds were dressed, and after a stay of three days in
hospital, the man was sent the three days' journey to Modder
River; during the journey he got in and out of the wagon when
he wished. After two days' stay at Modder, a journey was again
made by rail to De Aar (122-1/2 miles). The wounds were healed.
The man stayed at De Aar nearly a month, and then, rejoining
his regiment, made a two days' march of some 22 miles on hot
days. He had to fall out twice on the way by reason of
headache, feeling dizzy, and 'things looking black.' He did not
own to any loss of memory or intellectual trouble, but was
invalided to England. This patient returned to South Africa
later, and is now on active service.

(52) _Transverse frontal wound._--Within a few days an almost
identical symmetrical wound in the frontal region occurred in
the same district, from a near range. The patient became
immediately unconscious, and remained so until his death some
four days later, his symptoms being in no way alleviated by
operation and the removal of a quantity of bone fragments and
cerebral _debris_. At the _post-mortem_ examination, extensive
destruction of both hemispheres of the brain was revealed, and
large fissures extended into the base of the skull.

III. _Glancing or oblique perforating wounds of varying depth