JIJ 
The tactile sense is undisturbed on both sides. 
The perceptions of pain and of temperature are completely destroyed to the 
right (conf. the schema), to the right they are undisturbed. 
The nerve-trunks remain painless under pressure. 
The perception of active and passive movements is particularly good. On hoth 
sides localisation is normal. The two points of the compass of WEBER are recog- 
nized and distinguished within the appointed scale. On both sides stereognosia is 
perfectly normal. 
Legs. On inspection no irregularities, powerful muscular development with normal 
tenus. Neither tremor nor accessory movements. 
All movements are executed on both sides powerfully and with equal strength. 
No ataxy of movement when the kneé-heel experiment is made or when describing 
a small circle. 
During repose however there is a slight static ataxy. When standing with both 
feet closely joined, the. patient totters and threatens to fall, usually to the left. 
This becomes rather worse when his eyes are closed. The patient walks with 
legs wide apart, and generally deviates towards the left of his course. It is impossible 
for him to stand on one leg either on the left or on the right, and likewise to halt. 
When walking, the trunk is borne somewhat stiffly. 
The reflex-actions of the knee and of the tendo Achillis are normal on both sides. 
Reflex-action of the plant of the foot to the right: plantar-flexion of all toes 
with averting movement. 
To the left plantar-flexion of the little toes after irritation of the planta pedis. 
and when the tibia is stroked. 
The tactile sense is undisturbed on both sides. Even the slightest contact is perceived, 
Pain-sensibility. Normal to the left. On this side a frightened reaction, 
accompanied by a deep inhalation, repeatedly follows on a pin-prick, as if there 
existed a strong hyperaesthesia. 
Nowhere on the right is pain-perceived. Although sometimes by an effort the 
patient is able to distinguish between the contact with the head or with the point 
of a pin, still this distinction is not founded on any perception of the sensation 
of pain. 
The exterior genitals are analgetic to the right, though the boundarylines do 
not follow strictly the median line, but deviates somewhat towards the right. 
The perception of heat and cold is intact on the left, it has disappeared 
on the right. 
On both sides passive and active movements are perceived with absolute 
correctness. The sense of space is undisturbed on both sides. Localisation, though 
with a rather large declination, is good on both sides. 
The state of the patient remained unchanged during the months of October and 
November. The reaction of WASSERMANN was found to be negative in the blood. 
Lumbar punction was not performed. 
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Summing up, we may state the case as follows: 
On the 20% of October 1912, at eight o’clock in the morning, 
accompanied by violent vertigo, but without loss of consciousness, 
a complex of symptoms presented itself, fitting into the general view 
of the so-called per-acute bulbar paralysis. Part of these symptoms 
