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The hearing has not been strongly disturbed, certainly not on one side: only. 
A ticking watch can be heard on both sides at a distatice of 1 Meter. 
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Wield of vision on July 6™ 1911. 
The diagnosis was made of nephritis with retinitis albuminurica and a focus im 
the left Gyrus angularis, cutting through the dorsal strata sagittalia. 
July the 11 she left the hospital. On the 10‘ of January 1912 she was brought 
in unconscious and died three days later. 
The account of the section shows: Hypertrophia cordis with nephritis interstitia- 
lis chronica and a focus in the left hemisphere, in the Gyrus temporalis If and 
the Gyrus angularis. The brown coloured focus spreads itself out in a straight 
direction along the distal third of the fissura t,, and follows this along its ascend- 
ing branch, The dorsal bounder of the Gyrus temporals II and the ventral Gyrus 
angularis are sunken in (s. fig. 1 and 2). On the section the focus proves to be 
a cyst with orange coloured walls, sectioning the strata sagittalia, in the neigh- 
bovrhood of the retro-lenticular internal capsule and sectioning them completely 
in more distal slides (fig 6 and 7). More distally, it soon retracts from the strata. 
There is however a second fresh focus in the strata sagittalia, an haemorbagy 
cf bright colour, consisting of scarcely altered blood corpuscles (See fig. 7 in y). 
In resuming the clinical data, it is not to be doubted that the second fresh 
focus caused the letal ending insult on the 10 of January 1912 and that the 
first. apoplectic cyst responds’ to the insult of the 9t of December 1910, which 
brought forth the quadrantie hemianopsia as well as the secondary degenerations. 
The importance of this observation lies in the first place 
in the fact, that a quadrantic hemianopsia of both the right 
lower fields of vision, noted with all possible precaution, is 
caused by a focus cutting “completely” through the dorso-lateral 
division of the strata sagittalia. Therefore too the secondary degene- 
rations are of great importance. They lasted for 13 months and 
