656 THE CEREBRAL RELATIONS OF 



She could not, in fact, point out individual capital letters of very 

 large type. When asked to pclnt out M, after a long time, and 

 much pressing, she placed her finger upon "W ; and when told that 

 she was not right, and asked to point out W, after a still longer 

 interval, she laid her finger upon S. She seemed to recognize 

 familiar objects and hnow when the right name was given to them. 

 She could not he made to count hy tapping with her forefinger, 

 although she had been shovm most carefully what she loas to do. 

 She could not even he induced to give a single tap, and only looked 

 distressed. She seemed to recollect her own name. And although 

 she did not give any signs of recognition when the name of the 

 street in which she lived was mentioned, she immediately nodded 

 assent when she heard the remaining part of her address— viz., 

 •' Fitzroy-square," pronounced. She rarely laughed, but frequently 

 had fits of crying. She uttered no additional exclamations when 

 excited, and her vocabulary was confined to the three words above 

 mentioned. 



This is a food example of one of the severer forms of 

 disease, in which, beyond the Aphasia, with defective 

 activity of the Auditory, and especially of the Visual 

 Word-Centres, there was a general impairment of mental 

 power due, in all probability, to the extensive nature of 

 the lesion in the left Cerebral Hemisphere. 



As a connecting link between the slighter cases pertain- 

 ing to this category and those of the next — Agraphia — - 

 a good example may be quoted from Trousseau. It is 

 an instance in which there was greater damage to the out- 

 going fibres from the Visual than to those from the 

 Auditory Centre — since when the individual had regained 

 some of his lost ability to Speak, he still continued unable 

 to express his thoughts by Writing. 



"A young labourer, a3t. 28, had,according to the statement of his 

 friends, been seized, suddenly and without any assignable cause, 

 with complete mutism. 



" The affection for which he came to the Hospital consisted solely 



