60 QUARTERLY CHRONICLE. 
which under a high power are seen to be of this description, 
are scattered over different parts of the gray substance. 
Most of them may be seen to lie, as they probably all do, at 
the side of or around blood-vessels. In some places they 
are exceedingly minute, and much more numerous than they 
are represented in the figure. 
Of the second case of traumatic tetanus the history is as 
follows : 
On December 26th, 1863, a girl, aged seven years, trod 
on an iron meat-stand, and received a small wound on the 
ball of the toe of the right foot. Some pain and inflamma- 
tion followed, and the part was kept poulticed. On January 
7th, 1864, the mother noticed a peculiar expression about 
the face, and forty-eight hours later the girl complained 
of pain about the lower jaw. On the morning of the 10th 
she had lost all power of opening the mouth. On the evening 
of the same day her head began to be drawn backward, and 
her spine to be somewhat curved. The following day she 
had opisthotonos and sardonic grin; the pulse was small and 
