In stating the following case, our attention is directed to the etiology and diagnosis of acute diseases of the brain; especially with reference to the effects of injuries; to the medico legal question involved; to the relation of infection to brain disease, and to the question of trephining after an injury.
The subject of the paper was a boy of Holland parentage, with an excellent family history, both as regards bodily and mental disease. He was a well developed child and the picture of health. No history of physical illness excepting a few attacks of gastro-intestinal trouble.
On March 20, 1894, he complained of headache and vomited considerably. The following day he fell, or rather slipped off the steps of a porch in a faint, as described by his parents. On this day or the day preceding, the exact date could not be determined, he was hit on the head