12 LECTURES. 



with chorea and fits of hysteria. In the worst cases 

 of both sexes the cerebral disturbance may show 

 itself in convulsions and epileptiform seizures ; and 

 I regret to add that in not a few instances even 

 mania itself has been entirely attributable to the 

 presence of these entozoa in the intestinal canal/' 

 In the " bibliography" of my larger treatise you 

 will find references to several of these sad cases; 

 and the worst of it is (when the cases are of long 

 standing), the nervous accompaniments may remain 

 even after you have cured your patient. In the 

 briefest possible terms let me give you an instance 

 of this kind from my owp experience. 



CASE II. H. J., a lady, consulted me in regard to 

 a tapeworm she had contracted eleven years pre- 

 viously. She had been most injudiciously treated 

 abroad ; amongst other things, taking constantly 

 large draughts of tar-water. After a second inter- 

 view, I satisfied myself not only that she had no 

 tapeworm when she first came to me (Nov. 10, 

 1866), but that she and her guest had parted com- 

 pany fully five years previously. Notwithstanding 

 my assurances, all efforts failed to convince the patient 

 that a cure had been effected. She had been all 

 along, and I believe still is, subject to the most 

 distressing seizures, the sudden hysterical fits being 

 accompanied with violent muscular contractions, 

 rendering the body quite opisthotonic. These and 

 other bad nervous symptoms were, I believe, origi- 



