382 NEKVOTJS SYSTEM. 



in which tottering gait and want of equilibration or of mus- 

 cular coordination were noted, in connection with greater or 

 less disorganization of the cerebellum. 1 In the same jour- 

 nal, is a brief note of a case, reported by Laborde, in which 

 there was a large cyst in the cerebellum, with incomplete 

 paraplegia and " want of coordination of the movements of 

 progression." 2 



CASE X. A most remarkable and carefully-observed case 

 of atrophy of the cerebellum was reported by Dr. Fiedler, 

 in 18G1. 3 The subject of this observation, a man, aged about 

 fifty years, had remarkable peculiarities in his movements 

 for thirty years. After the age of twenty years, it is stated 

 that " he could no longer walk with as much certainty as 

 before; the gait was staggering (taumelnd). . . . Not only 

 in the house, but also in the street, the patient often fell, so 

 that he was very frequently taken for a drunkard, and was 

 either carried home or taken to the police-station. It is said 

 that he never had drunk spirituous liquors. 



" Sometimes the patient walked backward, but only a few 

 steps. He never had any turning movements ; the gait was 

 always tottering (wacklig) and slow " (Fiedler, op. tit., p. 

 251). He never fell forward, but always on the back. On 

 post-mortem examination, the cerebrum was found healthy, 

 " but the cerebellum was atrophied, especially at its posterior 

 and inferior portion, and was reduced in size at least one- 

 half" (Fiedler, op. cit., p. 258). This case presented the 

 phenomena of defective coordination to a marked degree. 

 Nothing is said of vertigo. 



CASE XI. In an elaborate article by Lussana, on the 

 cerebellum, a case is quoted from Pourfour du Petit, in 

 which a soldier, who received a gunshot-wound traversing 



1 WAGNER, Recherches critiques et experimentales sur les fonctions du ccrveau. 

 Journal de la physiologic, Paris, 1861, torr.e iv., p. 386. 



8 Ibid., p. 637. 



8 FIEDLER, Ein Fall von Verkummerung des Cerebellum. Zcitschrift far ra* 

 tionelle Medicin, Leipzig und Heidelberg, 1861, Bd. xi., S. 250, et seq. 



