574 
HEMIPLEGIA. 
On the 22d he was still improving. His bowels, however, 
being rather costive, I ordered him a pint and a half of 
linseed oil. 
On the 1st May his owner reported to me that up to that 
day he was continuing to improve and to gain strength. I 
therefore allowed him to be put to gentle work, and ordered 
grass to be given him, but on the 3d he had another attack, 
when the previous symptoms were again manifested, although 
not so prominently as at first. The superior labia, however, 
was more twisted, the neck more curved, and the lower lid of 
the left eye had fallen, the eyeball turned superiorly, and 
a white speck or scale appeared on the cornea. I bathed the 
eye with tepid water, bandaged up the lower eyelid, and 
ordered it to be fomented at intervals. I also bled from the 
facial vein, there being a considerable amount of inflamma¬ 
tion from the exposure of the eyeball, and once more blistered 
the cranium. 
On the 10th I had him carefully led out, when he shook his 
head and seemed playful; but while walking he inclined to 
the right side, and when eating grass he also twisted his head 
to the same side. There was an escape of light-coloured pus 
from the eye, and a scale on the cornea where the speck had 
shown itself formerly; the effusion, however, had rather 
subsided from the day before, and the eyeball became col¬ 
lapsed. 
I ordered him to be allowed to go loose in the park during 
the day. 
On the 16th he had another attack, similar in all respects 
to the two former ones, and on the 17tn I inserted a large 
seton across the atlas, and allowed him to be left in the 
park the whole day, but directed him to be taken in at 
night. 
From this time up to the 20th the animal continued to 
improve, when he appeared quite recovered, and was doing 
his ordinary work with apparent ease and freedom. He has 
since that time continued quite well, showing no vestiges of 
the former symptoms, and to any ordinary observer he ex¬ 
hibits no appearance whatever of ever having been subjected 
to such a formidable disease. 
In this case I consider the affection to have been caused 
by an abnormal effusion of blood or serum into the lateral 
ventricles of the brain. I am of opinion that the symptoms 
are traceable to no other known cause. The attack may also, 
in this particular instance, have been hereditary in the animal, 
as his sire died of a cerebral disease. 
