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It is an interesting question, though we must not enter into it here, whether many races could stand such a number of operations as this. The only instance we know in the present day of trepanation practised as a religious rite, is met with among the Kabyles, who are established at the foot of Mount Aures on the south of the Atlas.

This example of trepanation is the only well authenticated one of which I know in Brittany. The proof we are seeking of the antiquity of the operation of trepanation is not therefore to be found here.

In this paper I shall say a few words about the large number of operative procedures that, apart from trephining, or, preferably, trepanation, have been urged in the treatment of the various forms of glaucoma.

Prunieres added fresh details about other rounded pieces of skull that be had discovered let into crania, some of which pieces had evidently been introduced during the life of the patient, who had died under the operation of trepanation, whilst others had been put in after death. Dr.

The rock-shelter of Entre-Roches is supposed to date from Paleolithic times, and if it were certain that there has been no displacement of the soil on which the parietal was found, it is to be concluded that trepanation was practised in the Quaternary period when man was living amongst the large extinct pachydermata and felidae.

The elliptical form of the wound seemed to him to prove this, and he was further of opinion that when an opening had been drilled in the skull at the point chosen, the trepanation was completed by scraping the bone with a small flint blade. Discoveries made since the death of the great French anthropologist, however, compel us to modify this opinion.

Prunieres in every case speaks of RONDELLES or rounded pieces of skulls, and we prefer to quote him exactly, but as a matter of fact the trepanation was sometimes done with elliptical, triangular, or even pyramidal pieces of bone. Later no less than sixty fresh examples, corroborating Dr.

Another skull which had belonged to an adult of Huarocondo has two frontal openings close to each other; the upper, of elliptical shape, is of large size and was evidently made after death. Yet another skull from the province of Ollantay-tambo bears a double trepanation, evidently made during life.

But it will be difficult to admit this unless other discoveries confirming it are made. If, however, we cannot prove that trepanation was practised in France in Palaeolithic times, we can assert that it was continued down to the earliest centuries of the Christian era. One remarkable case of trepanation was found, for instance, in the Merovingian cemetery near St.

Not very long ago it was reported to the Anthropological Society of Berlin that in excavating two tombs containing the remains of burnt bodies at Trupschutz, on the west of Brux, some fragments of skull were picked up, showing traces of trepanation. The edges of the wound in this case bad been healed, and the patient had lived on after the operation.