HEAD.
Gunshot Fracture of the Vertex,
with Intracranial Lodgment of the Missile.

Wound of entrance, left anterior parietal region.

Wound of exit, none.

The missile left a few small fragments spattered on the bone at point of entrance, with a slight deformation of the ball due to this cause, as shown in the plate.

The distinct outline and normal size of the ball shows it to be very near the plate and on the left side of the head, while the enlarged and blurred image of the safety pin shows its position to be on the side of the head farther away from the plate.

Emergency treatment is antiseptic dressing only. Subsequent treatment is directed to fragments and depression, without search for ball. Septic condition might indicate some later interference.

Results in such cases are favorable if wound is not infected.

Plate 76.