CASE.—Private Amer Moore, Co. G, 2d United
States Artillery, aged 20 years, was wounded in a
skirmish near Culpeper, Virginia, on September
13th, 1863, by a carbine ball, which struck the
vertex of the cranium at the centre of the coronal
suture, passed directly backward along the
sagittal a distance of three inches, and lodged.
The missile was extracted the same day. Both
tables of the skull were fractured, leaving an
opening, through which pulsations of the brain
could be seen. The dura mater was uninjured.
Complete paralysis of the lower extremities and of
the left arm existed. He was admitted into the
Armory Square Hospital, Washington, on September
14th, and on the following day a plate of bone,
three-fourths by one-fourth of an inch, and
several small particles, were extracted by Acting
Assistant Surgeon E. Brooks. Creosote wash and
permanganate of potash were used to dress the
wound, which looked well. The general condition of
the patient was apparently good on September 21st,
when an oblong piece of lead was removed from
beneath the scalp; but hernia cerebri followed
this operation, and death occurred on October
10th, 1863. The case is reported by Surgeon D. W. Bliss, U. S. V.