210 PHYSICAL EXPRESSION. 



When sent on errands he went to wrong shops. 

 He appeared at times to lose himself. One day he 

 was found in the middle of the road at a distance 

 from home, and could not say how he came there 

 or where he lived. He became a tiresome boy, 

 and at times passionate. If beaten he became 

 worse, as if he had lost his reason entirely. In 

 hospital he conversed well, and no mental failure 

 was noticed. 



Sleep was sound and refreshing. 



As to the inheritance, the father and mother, and 

 the families of which they were members, appeared 

 healthy. The following is the account of the col- 

 lateral members of the family : 



(1) Male 25 years, healthy. (4) Patient, aged 12 years. 



(2) Male 22 (5) Male 9, very healthy. 



(3) 5 children died in infancy. (6) Female 7, not strong. 



The possibility of some defective inheritance is 

 the only probable cause of the boy's illness. 



When seen, January, 1879, he went to school, was 

 much less absent and forgetful; movements of 

 face were less, principally consisting in contractions 

 of both occipito-frontales muscles. No fits or 

 attacks. 



Now (August, 1880) he goes to school ; seldom 

 or never falls into "the lost condition." His face 

 is peculiar, and somewhat expressionless, but 

 without pathological movement except in the fore- 

 head. As he talks the skin of the forehead is 

 frequently thrown into fine long transverse wrinkles 

 by a slow movement. 



