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December 9, 1905

COMPOUND FRACTURE OF THE VAULT WITH LOSS OF BRAIN SUBSTANCE.A REPORT OF TWO CASES WITH RECOVERY.

JAMA. 1905;XLV(24):1801. doi:10.1001/jama.1905.52510240033002c

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Abstract

I feel that no apology is necessary in reporting the following cases, as they are of sufficient rarity to merit attention. Cranial injuries, moreover, occupy a place of the first surgical importance, notwithstanding that only 2 or 3 per cent. of all fractures are found to be of the skull; for the reason that the skull contains so vital an organ, and that there is a mortality of from 20 to 25 per cent. in all vault fractures with or without depression.

It behooves us, then, to give our most serious thought to such cases, the treatment of which appears to be not so well comprehended as the treatment of similar injuries to bones in other situations. Why this should be is not easily explained; certainly the brain, so intolerant of violent usage, the one organ above all others that can not be maltreated with impunity, that promptly resents insult,

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