CASE.—Private James H. Quimby, Battery L, 1st Maine Heavy Artillery, aged 21 years, was wounded at Spottsylvania​ Court-house, May 19th, 1864, by a conoidal musket ball, which penetrated the outer table of the left temporal bone, passed downward and chipped off a portion of the mastoid process. Another ball entered beneath the left clavicle, injuring the apex of the left lung, and passed out at the axilla. He remained on the battle-field​ three days without attendance; was then removed to Fredericksburg, Virginia; thence sent to the Columbian Hospital at Washington on May 28th, and was furloughed June 12th, 1864. He was treated at his home by Pension Examiner E. Russell. Simple dressings and expectant treatment were used. On July 23d, a piece of the outer table of the temporal bone, about three-fourths by one-half inch in size, was removed. After the operation, the patient slowly recovered. On August 4th, 1864, he was admitted to the Cony Hospital at Augusta, Maine; on February 18th, 1865, was transferred to the Veteran Reserve Corps; and on June 10th, 1865, was discharged the service and pensioned. At this date the wound had healed, but active exercise caused dyspnœa. Subsequent information from Pension Examiner J. B. Bell states that the patient suffered from deafness, headache, vertigo, and paralysis of arm. He was unable to bear exposure to heat. His disability is rated total and permanent.