632 THE CEREBRAL RELATIONS OF 



probable supposition that originally only one seat of 

 disease existed in the Cerebral Cortex. If ordinary right- 

 sided deafness had existed anterior to the date of this 

 patient's sudden cerebral disease, his symptoms might be 

 explained by one lesion of or near the Cortex of the left 

 Hemisphere, seriously damaging the afferent fibres going 

 to the Auditory Centre, as well as seriously deranging the 

 functional activity of the corresponding Visual Centre. 



Dr. Broadbent* has recorded a clinical history in many 

 respects comparable with the foregoing. 



A painter, set. 42, had been subject to gout, and also to epilepti- 

 form attacks, for several years. During the night of October 14, 

 1871, while lying on the right side, he suddenly put out the left 

 arm and began to jabber his right arm being quite useless. There 

 were no convulsions, and no loss of consciousness. He was found 

 by Dr. Felce, who was called to him. completely hemiplegic and with 

 greatly impaired sensibility of his right side, keeping up a mean- 

 ingless gabble, in which m-sounds were predominant, and show- 

 ing the paralyzed arm. The attack was followed by much cerebral 

 excitement, shouting and violence. He soon regained power in 

 the right limbs, but the speech was as imperfect as ever, and he 

 was unable to write or copy. His general health became much 

 deranged, and finally gangrene of the left foot came on. It was 

 soon after this, on Dec. 14, that he was first seen by Dr. Broad- 

 bent, who says : " He received xis with a profusion of bows and 

 smiles, with gestures expressive of welcome .... His speech 

 was a mere jabber, in which ' Ma ' and ' Mum ' were prominent, 

 and was accompanied with an excess of gesticulation, smiles, and 

 facial expression. The gestures were very striking, and apparently 

 appropriate when we had a key to their meaning .... It 

 was stated that he said * Yes ' or ' No,' and ' Oh, my ' at times ; 

 but he did not use even these simple words before us. He was 

 unable to write his own name when his signature was before him. 

 When urged to do so, he scribbled off rapidly something in which 

 letters of some sort were distinguishable at first, but then tailing off 

 into a scrawl." 



" He obviously did not understand anything that was said to kirn; 



* " Medico-Chirug. Transact., 1872," p. 170. 



