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March 26, 1887


JAMA. 1887;VIII(13):363-364. doi:10.1001/jama.1887.02391380027012

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Dear Sir:  —An interesting case of cranial fracture, followed by fungus cerebri, removed by ligature, and reported in The Journal of February 5, prompts me to report a case somewhat like it, and with a like favorable result from different treatment.F. M., aged 2½ years, was kicked by a horse, on the left superior posterior parietal bone, crushing the bone, and producing compression of the brain, without breaking the skin, but followed by a swelling the size of an egg. I saw the child about 4 o'clock in the afternoon of the same day, and immediately made an incision the whole length of the tumor; coagulated blood, and quite a considerable amount of brain, following the knife. A conical incision enabled me to see that the bone was comminuted, and the brain investments very much torn. I removed eleven pieces of bone; trimmed off the jagged parts of the

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