644 THE CEREBRAL RELATIONS OP 



It will be observed that this patient's state on A.pril 2 

 was distinctly different from what it became towards the 

 end of the month, after the two fits. At first he had no 

 power of recalling the names of common objects — he 

 could not name them at sight. Neither could he volun- 

 tarily recall his own name. And when, after prompt- 

 ing, he endeavoured to repeat words, his pronunciation 

 showed distinct defects of the incoordinate type. In 

 attempting to read aloud from a book these incoordinate 

 defects were so marked, as to make what he read quite 

 unintelligible ; neither did he seem to comprehend any 

 written characters except simple numerals. Towards 

 the end of April, however, whilst the patient's utterance 

 had become more distinct in repeating words which he 

 had heard, he could not even emit an unintelligible jargon 

 in attempting to read. At the same time he had become 

 able to understand what he read, though he still could not 

 name even a single letter at sight, nor could he write a 

 single word from dictation — both these latter processes 

 requiring for their performance the proper relation 

 (and therefore the integrity of the commissures) between 

 the Visual and the Auditory Word- Centres. That part ol 

 the commissure which conveys stimuli from the Visual to 

 the Auditory Word-centres (as in reading aloud) seems to 

 have been more extensively damaged after the two fits 

 than it was before. The fact, however, that he could read 

 and pronounce the names of numerals suggests the possi« 

 bility that these more familiar units may have been 

 articulated by means of stimuli passing direct from the 

 Visual Word- Centre to the half of the Kinaesthetic Word- 

 Centre concerned with Speech-Movements (see p. 624). 



Dr. Broadbent has recorded an extremely rare and 

 interesting result of cerebral disease, closely allied to that 

 found in the two cases just related. His patient, however, 



