540 
A. LIAUTARD. 
the eyes with the ophthalmoscope, the pupils were found dilated, 
and the fundus of the eye highly congested by the choroid vessels, 
especially that of the right eye, the smaller arteries being easily 
traced out. 
In view of these symptoms, the difficulty of deglutition, and 
principally, of the condition of the eyes, I made a diagnosis of 
cerebro-spinal meningitis. This was the third case which I had 
recently met with in my out-door practice. 
A severe blister was applied over the throat, and a hypodermic 
injection of strychnine and atropin given every six hours. 
At 12 m. the temperature had fallen to 101°; the pulse had 
risen to 120 ; the respiration to 30—he is in the same condition. 
On the morning of the 10th there was no change, excepting 
that he seemed to be partially blind. The same treatment was 
followed—he was fed by rectum during the day. In the evening 
of that day he becomes very uneasy and delirious. At 8 a. m. he 
went down to rise no more, his pulse becoming faint and scarcely 
perceptible, and the breathing stertorous. At 9 a. m. he died, 
after passing into a comatose condition. 
Post mortem, made the next morning, the head and the brain 
being the principal parts examined : The encephalic mass weighed 
28£ ounces, and was much softened and congested. The pituitary 
gland was blackened and the meninges highly congested, with 
effusion under the arachnoid spaces, as well as in all the ventri- 
cules. The choroid plexns was also congested; the hippocampi 
seem apparently enlarged, black and softened. The corpus cal¬ 
losum was quite soft, the cervical portion of the spinal cord very 
much injected, and the sub-arachnoid space filled with serosity. 
The examination of the throat showed a small collection of pus 
at the base of the epiglottic cartilage. The fauces and the 
pharyngeal mucous membrane were of a very dark color and 
gangrenous appearance. The other organs were apparently 
healthy. 
In his excellent little work on u Tumors of the Bladder,” 
Prof. Stein publishes statistics, showing the rarity of cancerous 
growths of that organ in human subjects. In our investigations in 
