after trephining and the removal of so many fragments of bone. The fall must have been broken in some way, and the patient thus saved. J. M-, aged thirty-one, admitted September 25th, 1863. Family history good, yielding no evidence of any hereditary diathesis. Patient says he has never been laid up by any illness ; he is a healthy, robust-looking man. For some years I past he has led a very debauched and dissipated life. On the
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