xiv Journal of Comparative Neurology. 



picture. Phrenoplegia or deficient kinesthetic sensation manifested 

 by loss of muscle innervation is located according to Nothnagel in the 

 temporal lobes. 



Although the patient had complete alexia and could not read the 

 letters he recognized that his written name represented him. In spite of 

 the destruction of the insula he was able to sing and recite. 



Developmental General Paralysis. 1 



A phase of general paralysis sustaining some relation to the peri- 

 ods of puberty or adolescence was first so named in 1890, by Ur. 

 Clouston. The present paper is occupied with clinical and patho- 

 logical notes on a number of cases. Both classes of phenomena ex- 

 hibit nothing unusual in general paralysis. 



The disease seems to develop at about 15 years and the cases re- 

 ported are all females. The uterus and ovaries were still in the in- 

 fantile stage. 



Syphilis seems to be an important factor in these cases. The 

 atrophy of the cerebrum is marked, the average brain weight being 

 27^ oz. 



Cerebral Tumor Diagnosed bj Means of Focal Symptoms. 2 



Patient was a man 41 years old, without specific history. About 

 five years prior to operation a sharp cramp-like pain of great severity 

 suddenly appeared in the calf of the right leg. This was followed 

 one week later by another and the* continued to appear at intervals 

 of from 7 to 10 days. A prickly paresthetic feeling in the locality of 

 the monospasm preceded it. These spasms extended until the right 

 arm was involved, but always originated in the same place; the whole 

 side 4 was affected in the course of one year. Weakness of the limb 

 increased as the case progressed. 



Examination showed right motor paralysis and sensory blunting 

 of right leg ; the right patella reflex was exaggerated. Hearing was 

 affected in the right ear. Diagnosis : Cerebral tumor in the leg region. 

 Operation : A horse-shoe flap 3 in. wide was turned down and fixed 

 by a stitch. The skull was opened to almost the same extent. Palpa- 

 tion revealed resistance over one inch on either side of upper third of 

 Rolandic fissure. A tumor of considerable dimensions was found 

 extending into the brain but separable from it with a few slight adhe- 



^Iiddlemass, J. Jotirn. Mental Science, XL. 168, Jan., 1894. 

 2 Steele, A. K. Journ. Am. Med. Assoc, XXII, 4, Jan. 27, 1894. 



