THE FACULTY OF ARTICULATE LANGUAGE. 355 



in the ability to walk, to use his arm, and to speak, so much 

 so, that he and his friends considered him better than he 

 had been for several years. But, about six weeks after he 

 came under my charge, he had another attack. This time 

 the left side was paralyzed, and there wa's no difficulty of 

 speech. Galvanism was employed, as before, and he recov- 

 ered sufficiently to go to Washington City. "While there, 

 he had a third attack, characterized by right hemiplegia and 

 aphasia. He soon recovered his power of speech, and soon 

 afterward had a further attack, involving the left side, and 

 unattended by aphasia. He recovered under the care of 

 Dr. Basil Norris, of the army, and soon afterward came 

 again to New York. A short time after his arrival I re- 

 quested my friend Prof. Flint . to see him in consultation, 

 with the special view of having him examine his heart. 

 This was done with thoroughness, but no abnormal sounds 

 were detected. While in New York he had two other at- 

 tacks, during both of which he was delirious ; both were 

 characterized by hemiplegia. That of the left side was un- 

 accompanied by aberrations of language ; that of the right 

 side was attended with ataxic and amnesic aphasia. He for- 

 got the names of the most' ordinary things, and there were 

 many words that he could not articulate at all. Thus, when 

 he wanted a fan, lie called it c a large, flat thing, to make 

 wind with.' He forgot my name, and could not pronounce 

 the words beetle, general, physician, and many others. I 

 sent him to Newport greatly improved, but he had other 

 attacks there, and finally died in the autumn of the present 

 year, of, I presume, cerebral softening. 



" The interesting features of this case are the concurrence 

 of hemiplegia and ataxic and annesic aphasia, and the strik- 

 ing fact that there was no aphasia when the paralysis in- 

 volved the left side. Thus, according to my views of the 

 case, the patient had repeated attacks of cerebral embolism. 

 "When the embolus lodged in the left middle cerebral artery, 

 there was aphasia accompanied by right hemiplegia ; when 



