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Symptoms.

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In many cases—in spite of the severity of the lesion—there are no symptoms, the child appearing but little the worse for the accident. In most cases, however, the child evidences symptoms of brain-concussion, irritation, or compression, for which conditions reference should be made to the sections dealing with those subjects.

It should be noted, however, that the anterior fontanelle supplies evidence as to increase or decrease of intracranial pressure. In concussion the fontanelle is depressed, in compression it is tense and pulsation is absent or diminished. Irritation of the brain is evidenced by irritability and general convulsions.

The Surgery of the Skull and Brain

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