3T8 NERVOUS SYSTEM. 



CASE III. " M. Guerin, vicar at Gezeville, forty-six years 

 of age, of a good temperament, strong, and corpulent, with 

 a good appetite, complained of a dull pain, which finally be- 

 came acute, under the frontal bone. For a year he experi- 

 enced attacks of vertigo and vomiting, without fever. He 

 staggered on his legs, and was often near falling forward. 

 The treatment employed was antiphlogistic and derivative." 



On post-mortem examination, the cerebrum was found 

 entirely healthy, but the envelop of the cerebellum was col- 

 lapsed, folded, and only contained about the half of an egg- 

 shell full of a brown and fetid, lymphatic*o-purulent liquid. 1 



This case, as far as the description goes, shows marked 

 difficulty in equilibration or coordination. 



If the reader have carefully studied the foregoing analysis 

 of Andral's cases, he will see that eighty-five may be thrown 

 out altogether, leaving but eight ; and of these eight cases, 

 five are so imperfectly described, and the disorganization of 

 the cerebellum is so restricted, that they may also be disre- 

 garded. The ninety-three cases are thus reduced to three. 

 Of these three cases, in two, it is uncertain whether or not 

 there were deficiency of coordinating power ; and in one, the 

 difficulty in equilibration or coordination was distinctly noted. 

 This, we conceive, disposes of the much-quoted ninety-three 

 cases of Andral ; and they are certainly not opposed to the 

 view that the cerebellum is the organ of equilibration or 

 muscular coordination. 



In addition to the cases collected by Andral, there are 

 numerous other instances on record of disease confined to 

 the cerebellum. 



CASE IV. An interesting case of disease of the cere- 

 bellum was reported by Gall, in 1823. 3 This patient " com- 

 plained for several months of a very disagreeable sense of 

 pressure at the nucha, and a tendency to fall forward as if 



1 LALLEMAND, Recherche* analomico-pathologiques sur rencephale, Paris, 1823, 

 tome ii., p. 39. 



2 GALL, Sur Icsfonctions du cerveau, Paris, 1823, tome Hi., p. 341. 



