NOTES FKOM POST-MORTEM EXAMINATIONS. COMMINUTED FRACTURE OF THE SKULL WITHOUT ANY EXTERNAL MARKS OF INJURY. By Assistant Surgeon Jadub Kbisto Sen, Gonda. Case I.?On the 2nd of April 1873, Dul Sing, an elderlyHindoo, was struck down dead by a heavy blow on the head. The body was sent to the Sadr two days after the accident. There were ho marks of injury on the head ; there was only slight alteration in the cranial curve; On reflecting back the scalp, the vault of the cranium was found to be fearfully-
smashed, and
skull,
some
fragments driven down into the unusually thin and brittle,
brain.
The
in this case, was
.)?
:
?>!;
I
Case II.?Ramdhone Missree, a strong muscular Brahmin, aged about 36 years, wag; admitted to hospital on, 16th September 1873, with aphasia and loss of power and sensation of the right side of the body. He was said to have been violently thrown down in a q'uarrel tfro days before admission. There no marks of injuiy day after admission.
were
on
the head.
He died
on
the fifth
THE INDIAN MEDICAL GAZETTE.
240
Post-mortem examination revealed an extensive fracture of tbe skull which extended from the middle of the right parietal bone to the base of the skull, traversing the left parietal and bones. It was joined obliquely by two small cracks, each about an inch and a half in length on the left parietal bone. The left middle meningeal artery was torn across, and a
temporal
large
firm clot, about the size of the
palm of
the
hand,
was
found
the left side of the head between the skull and dura mater. The upper surface of the left hemisphere was much flattened.
on
Case III.?On 21st April 1874, the body of a Hindoo female, aged about 24 years, was sent to the Sadr, with a longitudinal incised-looking wound about 4 inches long on the head, communicating with a depressed comminuted fracture of the frontal hone. On dissecting up the scalp a depressed comminuted fracture of the right parietal bone below the cranium was detected. There were no external marks present to indicate the existence of this injury.
[September 1,
1874.
smashed, and
skull,
some
fragments driven down into the unusually thin and brittle,
brain.
The
in this case, was
.)?
:
?>!;
I
Case II.?Ramdhone Missree, a strong muscular Brahmin, aged about 36 years, wag; admitted to hospital on, 16th September 1873, with aphasia and loss of power and sensation of the right side of the body. He was said to have been violently thrown down in a q'uarrel tfro days before admission. There no marks of injuiy day after admission.
were
on
the head.
He died
on
the fifth
THE INDIAN MEDICAL GAZETTE.
240
Post-mortem examination revealed an extensive fracture of tbe skull which extended from the middle of the right parietal bone to the base of the skull, traversing the left parietal and bones. It was joined obliquely by two small cracks, each about an inch and a half in length on the left parietal bone. The left middle meningeal artery was torn across, and a
temporal
large
firm clot, about the size of the
palm of
the
hand,
was
found
the left side of the head between the skull and dura mater. The upper surface of the left hemisphere was much flattened.
on
Case III.?On 21st April 1874, the body of a Hindoo female, aged about 24 years, was sent to the Sadr, with a longitudinal incised-looking wound about 4 inches long on the head, communicating with a depressed comminuted fracture of the frontal hone. On dissecting up the scalp a depressed comminuted fracture of the right parietal bone below the cranium was detected. There were no external marks present to indicate the existence of this injury.
[September 1,
1874.
