CASE. Private Leonard H. Washburn, Co. E, 1st Maine Heavy Artillery, aged 21 years, was wounded at the battle of Spottsylvania​ Court House, Virginia, May 19th, 1864, by a conoidal ball which fractured the outer table of the frontal bone. He remained in the field hospital until May 24th, when he was conveyed to Washington and admitted to the Carver Hospital. On June 1st he was sent to the Mower Hospital, Philadelphia. The patient recovered and was returned to his regiment for duty December 27th, 1864. He served in the field until the middle of March, 1865, when he was again admitted to the field hospital and sent, on April 10th, to the Armory Square Hospital, with aphonia and partial amaurosis, the latter a consequence of the old wound. He was discharged on June 9th, 1865. On August 3d, 1869, Pension Examining Surgeon E. A. Thompson reports that this patient had a constant discharge of pus from the wound, and severe headache after exertion or exposure; that he was unable to perform any labor that requires exertion or mental effort, and that the severe pain affected his general health.