Title: Gray, J. A.

Source text: Surgeon General Joseph K. Barnes, United States Army, The Medical and Surgical History of the War of the Rebellion. (1861–65.), Part 1, Volume 2 (Washington, D.C.: Government Printing Office, 1870), 287.

Keywords:wounds and injuries of the headtrephining after gunshot fractures of the skullsent to provost marshal's office

Civil War Washington ID: med.d1e17023

TEI/XML: med.d1e17023.xml

CASE.—Corporal J. A. Gray, Co. I, 12th Mississippi Regiment, was wounded at the battle of Chancellorsville, Virginia, May 3d, 1863, by a fragment of shell, which struck the left parietal bone at the posterior superior angle, depressing both tables fully half an inch. He was conveyed to Washington, and on May 7th admitted to St. Aloysius Hospital. No untoward symptoms occurred until May 9th, when he was attacked by epileptiform convulsions, with complete loss of consciousness. On the following day the trephine was applied, and a button of bone, consisting of the external table only, was removed from the interior edge of the fracture. Fragments of the external table were then removed which had been driven backward between the tables beyond the point of fracture, depressing, to a considerable extent, the inner table, which presented on its exposed surface no fracture or even fissure. It being deemed that the removal of the fragments would permit of the gradual and spontaneous elevation of the inner table, and it being impossible to elevate it at the time without applying the trephine in a new position, it was determined to leave the case without further interference, unless symptoms of convulsions recurred. Ice was applied, and no untoward symptoms occurred. The inner table partially resumed its natural position, and became covered with new granulations. He was doing well on July 27th, 1863, and was sent to provost marshal's office August 25th, 1863.