Abstract
While loss of brain substance is relatively common in fractures of the vault of the skull, its occurrence is quite rare with basal fractures. Rawling1observed two cases of such nature. One patient, with escape of brain substance from the right nostril, died a few hours after the injury. The second case was thus described by Rawling:2 A lad, 11 years of age, fell some distance out of a window on to his head. He was admitted under the care of my colleague, Mr. Lockwood. On admission he was unconscious, and was bleeding freely from the right ear and nose. Shortly afterward it was noticed that brain matter was issuing from the right external auditory meatus, sufficient brain matter being obtained to fill a teaspoon. The extensive nature of the brain injury was confirmed by the fact that the left arm and leg were paralyzed for some days.
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