670 THE CEREBRAL RELATIONS OF 



singular affection he could manage all Ids affairs hy suhstitating 

 writing for speech. 



Here, the man being ud able to articulate at all, was also 

 incapable of reading aloud in any fashion ; although we 

 may fairly presume that he could readily comprehend 

 what he read silently. And if, as the writer thinks, the 

 patient was suffering from a simple motor defect, it was 

 not so strange, as Trousseau supposes, that he should 

 have been perfectly well able to manage his own affairs. 



This last case may, indeed, be pretty confidently 

 interpreted through the reflected light thrown upon it by 

 another, more recently recorded by Dr. Bristowe.* 



"A steward of a steam packet, set. 36, in the midst of previously 

 nninterrupted good health, complained, on the morning of March 7, 

 1869, in the Straits of Malacca, of headache and feverish ness. 

 This condition was succeeded, in the course of a few hours, with a 

 series of very severe epileptiform attacks following one another 

 quickly. Four hours after their commencement he began to 

 recover consciousness. When he recovered, he found himself lying 

 on the floor of the cabin ; and he soon discovered that, although 

 he could see and understand everything that was going on, he was 

 totally unable to move a limb, had entirely lost the faculty of 

 speech, and was 'stone deaf.' He could not hear a pistol fired off 

 close to his ear. He remained in this condition as nearly as 

 possible up to the time of his arrival at Singapore on March 20." 

 At that time his right leg and arm were still weak, his left leg 

 and arm were numb and quite powerless. He had considerable 

 difficulty in * masticating ' his food, and he was still perfectly deaf 

 and speechless. He gradually improved in the Singapore Hos- 

 pital. "In the first week he regained the complete use of his riyht 

 side, and audition so far returned that he could hear when spoken 

 to loudly. His hearing was completely restored by April 22. He 

 also regained to a great extent the use of his left arm, and improved 

 remarkably in general health." He left the Hospital in the middle 

 of June, and was put on board a sailing vessel homeward bound. 



* " Trans, of the Cliiiical Society," 1870, p. 92. 



