Liter my Notices. clxxiii 



tient was treated first by faradisation, then by psychial education, then 

 by exercises upon the dynamometer. He slowly regained control of 

 fingers and elbow and sensibility returned to hand and fingers, only 

 one anestheslatic zone being left, the wrist. This is a case of hyster- 

 ical monoplegia developed chez un saturmne. 



Case III. Hystero-traumatic left brachial monoplegia, sclerose 

 en plaques. Organic lesion of the nerves of the deltoid and infraspinal 

 muscles. 



Patient's health was undermined by very trying labor. One day 

 he felt very feeble. This feebleness continued. Two years later the 

 first symptoms of sclerose en plaque appeared, commencing by titula- 

 tion. His legs were not stiff but feeble. In 1889 he received a vio- 

 lent shock upon the left shoulder from a falling window shutter. His 

 left arm was instantly and completely paralyzed. After three weeks' 

 treatment, he recovered slowly some slight movements of the fingers 

 and forearm. Treated by tonic baths, electrization and exercises re- 

 quiring movements of fingers and portions of left arm. 



The co-existence of paralysis and sclerose en plaque makes this case 

 somewhat complicated. This monoplegia, complex in character and 

 contradictory in appearance, is due in part to the traumatic shock and 

 to organic lesions which it produced in the brachial plexus and in part 

 to local hysterical troubles which the traumatism produced. To the 

 lesion of the plexus ought be referred to the paralysis of movement 

 and sensibility which immediately followed the shock and consequent 

 nervous degenerative muscular atrophy. To hysteria alone ought to 

 be attributed the special anesthesia and perhaps the inertness of the 

 movement of flexion in the forearm. This interpretation being ac- 

 cepted, we shall easily understand why the movements of the elbow 

 returned rapidly under influence of psychic treatment, (exercises and 

 suggestions), while the shoulder remained incapable of motion because 

 of the organic nature of the lesions with which the paralysis of its 

 muscles was connected. 



The HypoJiria or Lobi luferiores of Fislies.' 



The paper before us is based on a large number of preparations 

 by different methods made in Professor Hertwig's Laboratory in Ber- 

 lin, under the immediate direction of Dr. Burckhardt. 



^ David, J. J. Die Lobi inferiores des Teleostier und Genoidengehirns 

 Inaugural Dissertation. Basel, 1892. 



