204 
A. LIAUTARD. 
his head slightly down, and appeared sleepy and drowsy, yet his 
• general condition was favorable. Upon removing the mosquito 
net covering from his head, (placed there for protection from the 
flies), he appeared with his head slightly extended and carried to 
the left, with the tip of the nose turned slightly upwards and to 
the right. The right ear was well erected and moving quickly, 
the left lopping down, being somewhat scorched at the lower 
commissure of the concha, and showing at that point a little abra¬ 
sion or cutaneous wound. The right eye was somewhat injected, 
but in normal order, but the left was partially closed by the drop- 
ing of the upper lid, the globe being turned downwards and im¬ 
movable, and the pupil widely dilated, with a well marked amau¬ 
rosis. The upper lip seemed to be normal, but the left was some¬ 
what paralyzed, the left portion of it and the left commissure 
hanging down. The general sensibility of the skin seemed to be 
somewhat diminished, pricking with a sharp pencil being scarcely 
noticed. While standing, his legs were kept somewhat apart as 
if in consciousness of his instability. When compelled to move, 
his debility became apparent, his weakness of motion suggesting 
a compound of the action of locomotor ataxia and general 
paralysis. There was no dragging of the toe, no knuckling, no 
lateral staggering; it was a general giving way. The loins were 
very sensitive and flexible, perhaps a little of this being due to 
the application of hot compresses, which had somewhat blistered 
the surface. He generally kept on his ‘feet and went to sleep, 
and in his sleep or drowsiness would suddenly fall, lying still and 
resting for several hours and then getting up unassisted. He 
drank freely and his appetite was good, though he had much dif¬ 
ficulty in grasping grass. His mode of prehension of his food 
was peculiar; he would take a large bite, filling his mouth, and 
chew it and then possibly let it drop, but only to take it up again. 
All the functions were otherwise perfect. His temperature, his 
pulse, his respiration, his digestion, etc., etc., seemed perfectly 
normal. 
It was a well marked case of general paralysis, with a corres¬ 
pondence equally well marked between the lesions present and 
those which tnay be observed in the human subject in similar 
