662 THE CEREBRAL RELATIONS OF 



channels beyond — perhaps in the part of the Kinaesthetic 

 Centre concerned with Writing-Movements. It is also in 

 harmony with the view previously enunciated, that in 

 reading aloud usually Visual Impressions revive corre- 

 sponding Auditory Impressions of words, and that the 

 stimuli which occasion either form of Articulate Speech 

 pass in the main from the Auditory to the Kinaesthetic 

 Word-Centres, and thence to the Motor Centres. 



It is worthy of note, however, that in this case, as well 

 as in others in which there has been defective action of 

 the Yisual Word-Centre, the mode of spelling was almost 

 entirely harmonious with the patient's mode of writing 

 rather than with his mode of speaking. It was, however, 

 very strange to hear a man when asked to spell ' cat ' say 

 deliberately * candd,' and then immediately pronounce the 

 word as though he had spelt it ' cat.' 



In a case of Agraphia recorded by Dr. William Ogle,* 

 there was a grave Amnesic condition as regards Speech, 

 though this was associated with a greater inability to Write 

 than existed in either of the other cases. 



"James Simmoncls, fifty-four years ot age, after a heavy blow on 

 the left side of the head, seven years ago, was obliged to give up 

 his work. He spoke without difficulty or hesitation, but miscalled 

 tilings strangely. He then had a fit one morning, whilst dressing, 

 which left him speechless and hemiplegic on the right side. For a 

 fortnight he could not speak at all, though he was quite sensible. 

 He could not say so much as 'yes' and 'no.' From this ho 

 gradually recovered, but always, as before, miscalled things. . . . 

 A month ago he had a second fit, which left him with less power 

 than before in his right side, but made little or no change in hia 

 speech." 



" There is now partial paralysis of" the right side, which does not 

 prevent his walking. The facial muscles on that side are slightly 

 affected as well as the limbs. His speech is very hesitating and 



* St. George's Hosp. Keports, 1867, p. ] 03. The convenient word 

 'Agraphia' was, in this article, first introduced by Dr. AVm. Ogle, 



