FUNCTIONS OF THE CEREBELLUM. 713 



Cases of tumor, quoted from various authors, in which there was paralysis . .15 cases. 



Cases of tumor, associated with disease of the cerebrum 7 " 



Cases of tumor, associated with convulsions ; the descriptions are very indefinite .9 " 



(Nine Cases, observed ~by Andral.) 



case. 



Softening ; hemiplegia and convulsions .,'.-.:, 



Softening; hemiplegia and subsequent haemorrhage . . ."' ",$.. .-'. , ...... 



Softening; hemiplegia and haemorrhage . . . . . ;. ........ 



Softening; agitation, like convulsions, of the members . ....-' : k ,, . . , 



Cyst; paralysis and convulsions . ,-. .,-<, , . . . . 



Tubercle; hemiplegia . . . . . . .'.., j *' 



Five small tubercles in one hemisphere of the cerebellum ; movements normal . .1 " 

 Tuberculous mass, the size of a hazel-nut, on one side of the cerebellum ; movements 



normal . . . . ' . . . . . . . . . .1 " 



Cyst, the size of a hazel-nut, on one side of the cerebellum ; movements normal . 1 9 cases. 

 Add cases of haemorrhage, previously cited, observed by Andral, .... 6 " 



Add cases quoted from various authors . . t 78 " 



Total cases collected by Andral . . ... . . 93 cases. 



In six cases, quoted from Serres, marked *, " there were observed all the signs of vio- 

 lent apoplexy ; nothing in particular is said with regard to disorders of movement." In 

 the case quoted from Dance, marked f, the patient was struck with apoplexy. In the 

 case quoted from Bayle, marked J, the patient suddenly lost consciousness, had convul- 

 sive movements on the third day, and died in coma, on the fifth day. In the case quoted 

 from Guiot, marked , there was " no lesion except effusion of blood in the median lobe 

 of the cerebellum. The individual who was the subject of this observation had had an 

 attack of apoplexy. Before his attack, he had for some time a tottering gait (demarche 

 chancelante), and, after the attack, remained hemiplegic on the right side." 



Let us now carefully review these ninety-three cases of Andral, which have been held 

 in terrorem over those who have ventured to argue, from experiments upon animals, that 

 the cerebellum is the coordinator of the muscular movements, and see how many may 

 properly be thrown out of the question ! 



We can discard the first six cases, observed by Andral, in which there was hemiplegia, 

 speedy death, and in three of which there was cerebral haemorrhage; for we could 

 hardly observe want of coordination in hemiplegics or in cases complicated with cerebral 

 disease. We can discard the six cases, quoted from Serres, in which there was violent 

 apoplexy, as well as the case quoted from Dance, with apoplexy, and the case quoted 

 from Bayle, with coma and convulsions. It is evident that these cases are useless in 

 noting the presence or absence of coordinating power. We can discard two cases, (Serres) 

 with hemiplegia ; one, (Cazes) with coma ; one, (Morgagni) found dead ; one, (S6 dillot) died 

 in fifteen minutes ; one, (Cafford) died suddenly ; and one, (Michelet) apoplexy two years 

 before death, and an old clot in the right lobe of the cerebellum. This last case is in 

 accord with experiments on animals ; for we have seen that the coordinating power may 

 be restored after loss of one-half of the cerebellum. We can discard nine cases quoted 

 from various authors, in which there was cerebral as well as cerebellar hemorrhage ; two 

 cases of paralysis, with atrophy of one hemisphere of the cerebrum and one hemis- 

 phere of the cerebellum ; nine indefinitely-described cases, with paralysis ; three cases of 

 abscess, with paralysis ; one case of cyst and one of abscess, with paralysis ; fifteen cases 

 of tumor, with paralysis ; seven cases, associated with disease of the cerebrum and 

 paralysis ; and nine very indefinitely described cases, associated with convulsions. Of the 

 remaining cases observed by Andral, we can discard one, with hemiplegia and convul- 

 sions ; one, with hemiplegia and subsequent haamorrhage ; one, with hemiplegia ; one case 

 of cyst, with paralysis and convulsions ; and one, of tubercle, with hemiplegia. We can 



