642 THE CEREBRAL RELATIONS OP 



and the other the Visual Centre into operation inde- 

 pendently of the other. Tlie act of copying was in this 

 case performed, as a result of recent practice, with, the 

 left hand ; so that the stimuli operating upon the motor 

 centres (in the right corpus striatum) must have imme- 

 diately emanated from the Visual Centre of the right side, 

 T-he details of the second case, which is even moro 

 interesting, are fuller. 



Thos. A , a tinplate worker, forty-two years of age, was 



admitted into University College Hospital, March 12, 1878. Three 

 months previously he had become suddenly paralyzed in the right 

 side of the body, without convulsion or loss of consciousness; 

 but after the attack his speech was found to be almost lost. When 

 admitted, he had become able to move his right leg and arm slightly ; 

 though there was still some diminution of sensibility on this side 

 of the body. There was a slight amount of right facial paralysis, 

 and some deviation of the tongue to the right. Sight and hearhiq 

 were good. He continued to improve slowly, and on April 2 his 

 condition is thus described : — He recognizes common objects, but 

 cannot name them, repudiates a false name, and recognizes 

 the real one at once when he hears it. Can never remember his 

 own name till it is suggested to him. On being asked to repeat it 

 (Andrews), after a few trials which vary each time he pronounces 

 it ' Anstruthers ' or ' Anstrews.' His first name (Thomas) seems to 

 come more readily, and he can often attempt this without 

 prompting. But either after it has been repeated to him, or when 

 he says it spontaneously he pronounces it ' Towvers.' The letter * L ' 

 is difficult for him to utter, sometimes he pronounces it like a ' D,* 

 and at others like a 'V.' He has been taught to count, and can 

 fairly pronounce the numerals from one to tivelve ; alter twelve he 

 is uncertain, the articulation and order becoming rapidly worse. He 

 is conscious when he makes a mistake, but cannot correct himself, 

 and ends in a hopeless muddle. In reading from a hooh the words 

 h,e ^pronounces have no relation to the print, either in length or 

 sound — neither does he seem to tmderstand written characters, as he 

 will not attempt to answer a question written on a slate, though he 

 will at once endeavour to respond %vhcn the same question is put to 

 him orally. He, however, recognizes numerals from one to nine 

 when written, and is conscious when they are not placed in regular 



