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October 15, 1898

Complete Congenital Separation of all the Bones of the Cranium.

JAMA. 1898;XXXI(16):939. doi:10.1001/jama.1898.02450160061011

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Florence, Colo., Oct. 8, 1898.

To the Editor:  —Recently I attended a lady in confinement, who gave birth to female child at term-presenting such a remarkable and unusual anomaly of osseous development—that I herewith hand you the details, in brief, for publication. The fetus presented by the occiput and nothing unusual was observed till the head engaged in the vulvar outlet, when great mobility was apparent to the touch. After delivery, which was normal—assisted by traction with the hand only—all the cranial bones were found to be completely disunited at their sutural lines. Not one was united with its fellow, and in the case of the frontal bone, the two halves were ununited as in very early fetal life. No union anywhere had ever existed, although the individual bones were perfectly formed, and when held in proper position in the hands, made a cranium of normal shape and size. In

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