6G6 THE CEREBRAL RELATIONS OF 



was pretty good. When he wished to reply to questions that were 

 addressed to him, he made use of expressions either quite unintel- 

 ligible, or else having a meaning quite different from that which 

 he intended to convey. When questioned as to his health, he 

 replied rightly in two or three words; then in order to say that he 

 did not suffer at all from pain in the head, he said, " Les douleurs 

 ordonnent un avantage" whilst in writing he replied to the same 

 question in this way : " Je ne souffre pas de la tete." When a word 

 such as tambour was pronounced, and he was asked to repeat 

 it, he said fromage ; though he wrote it, on tlie contrary, quite 

 correctly when asked to do so. He was requested to copy the 

 words feuille medicate ; he wrote them perfectly, but could never 

 exactly read the words which he had just written ; he pronounced 

 instead, fequicaie, fenicale and fedocale. Then, when made to read 

 the word fequical, written by himself, he pronounced it jardait. 

 He often wrote upon paper phrases which were unintelligible, 

 either by the nature of the words employed, or by their lack of 

 relation to one another. When he was shown different objects, he 

 generally named them correctly ; but then he was wrong at times, 

 and during the same sitting he called " uue plume, un drap ; un 

 crachoir, une plume ; une main, un tasse ; une corde, une main ; une 

 bague, un crachoir" 



This case is complicated, and one in which there were 

 very distinct mental defects. The Visual Centre seems to 

 have been fairly healthy, hence the patient was able to copy 

 correctly. From the fact, however, that instead of repeat- 

 ing the word ' tambour/ when asked, he said ' fromage,' 

 though he wrote the word quite correctly ; and from the 

 fact that after he had also copied a written word properly, 

 he could not rightly pronounce it, we may infer that im- 

 pressions received in the Auditory Word- Centre, might 

 pass on correctly to the Visual Word-Centre, so as to 

 enable its equivalent to be correctly reproduced in writing ; 

 but that impressions striking at once upon the Auditory 

 Word-Centres, or coming to them from the Visual Word- 

 Centres, could not be correctly rendered into articulate 

 speech. The conclusion, therefore, is warranted that 



