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Dr. Grumman likely had a trepanned skull due to a historical practice where trepanation was performed to relieve pressure, treat head injuries, or address mental health issues. This procedure, which involves drilling or scraping a hole in the skull, was believed to release evil spirits or alleviate symptoms caused by various ailments. It suggests that he may have experienced a significant head injury or had health conditions that were misunderstood at the time, leading to this drastic surgical intervention.

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