182 PROCEEDINGS OF THE SECTIONS. 
quiet breathing, with occasional sighing. Pulse 60, small a 
uneven. On the next day the insensibility had somewhat dim 
ished ; there was restlessness, some irritability when disturbed, sti 
incoherence of speech when roused. Pulse 100, fuller and more 
even; temperature 101. No fluid from ear, and nothing to point to 
red, the patient was restless, irritable, confused, and incoherent, 
with a pulse of 108, and an evening temperature of 103. Under 
cold to head, purgatives, complete rest and quiet, the temperature 
subsided, and the patient became more rational. Three weeks 
standing up. He was deaf in the left ear, where a raw line 
extended across the tympanum. The pulse and temperature were 
normal. The memory slowly returned, and the patient progressed 
to complete recovery. 
Casx 3.—T. T., aged 46, a storekeeper, and sharp man of busi- 
when inspecting a new store in process of erection, stepped 
striking his head violently. He was attended by Dr. MacQueen, 
to whom I am indebted for eget of the early symptoms. 
The first were those of concussion, and as these passed off symp- 
toms of cerebral irritation sapervened, cad subsequently there 
sense of taste, great restlosnes and many of the symptoms of 
subacute mania. e was admitted into the Licensed House for 
the Insane at Cook’s seocatin on October 27, 1881, one month after 
the accident, and I saw him on the following day. His expression 
was vacant and peculiar, his manner restless and fussy, he 
answered some pri secon ‘rationally, but displayed a number of 
exalted delusions. He claimed as his own all the property around 
race. His 
memory was extremely defective. He had no knowledge whatever 
of his accident, and stoutly denied that he had been in any way 
ill or under medical care. No single event which had happened 
since the accident had made any impression on his memory. He 
had no idea even how he had travelled from home to Cook’s River, 
and, further, he was considerably astray, as I ascertained from” 
Dr. “MacQueen and his brother, as to the events of his past life 
With all this his manners were those of a gentleman, and on any 
to minor business topics he appeared shrewd and intel- 
ligent. The pulse ranged from 92 to 96, and the temperature was” 
iti more than normal. Three weeks after admission A ete . 
eeks after the accident), when I again saw him, the pulse was 
pysoe rapid, the temperature was normal, his manner was less fs ; 
