QUARTERLY CHRONICLE. 61 
quick. The wound in the foot had healed, and the cicatrix 
was not painful. The posterior tibial nerve was divided by 
Mr. Henry Lee. On the 12th the risus sardonicus was less 
marked; she could open her mouth about half an inch, and 
protrude her tongue easily; deglutition was perfect. Any 
sudden movement of the bed-clothes, however, threw her 
into a state of spasm, in which the back became bent, and 
the corners of her mouth much drawn down. The abdomen 
was hard; respiration 38 per minute ; pulse 160 and regular ; 
she answered questions readily. Two doses (each three 
grains) of calomel, followed by an enema, brought away copi- 
ous motions. There was great thirst, and a constant cry of 
* Drink, drink!”? On the 14th the attacks of spasm were 
less frequent and severe; she passed a much quieter night. 
On the followimg day she was very much purged, but this 
action was arrested by a six-grain dose of Dover’s powder. 
On the 16th she had a very severe attack of spasm, in which 
her face became blue; she was quite insensible to all external 
objects, and opisthotonos eusued. After this she slept for 
two hours. On the 18th there was some pleurosthotonos 
towards the right side. On the 19th she was much weaker. 
On the 20th, in the morning, she had two severe spasmodic 
attacks, with only an interval of a few minutes. In the 
afternoon of the same day she had three others, and died at 
twenty minutes past two. 
On examination of the body by Dr. Dickinson, the pia 
mater of the brain was found to be slightly blood-stained in 
the neighbourhood of vessels, but otherwise healthy. The 
dura mater of the spinal cord contained about half an ounce 
of blood-stained fluid. The vessels of the surface of the 
cord itself were greatly mjected, especially in the lumbar 
enlargement. Its gray matter was congested. The remainder 
of the cord was more than usually vascular, both on the 
surface and in the interior, but less so than in the lumbar 
region. 
Nearly the whole of the spinal cord was sent to me-by 
Dr. Dickinson for examination. To the unassisted eye 
nothing unusual was observable in its interior. But when the 
microscope was employed on sections properly prepared, 
lesions were discovered of the same general nature as those 
which I described in the first case. Every region—the 
cervical, dorsal, and lumbar—was more or less affected; 
but in each the morbid appearances seemed rather to recur 
at intervals, and not uniformly throughout its length. In 
some sections the injury was limited to the gray substance; in 
others it involved the white columns, particularly the poste- 
