. The Journal of nervous and mental disease . ked improvement in supraduction, and 4 days later hecomplained for the first time of diplopia, and a careful studyof the movements of the eyes showed that there remained onlya paresis of the left superior rectus. Yesterday all of the mus-cles (intra- and extra-ocular) seemed to have regained theirfull power. There is still glycosuria. Summary: A. S., fifty-seven years of age, (Dec. 3, 1904)suddenly became dizzy and complained of blurred sight. Hehad used alcohol and tobacco to excess. Convergence wasweak and nystagmic. Associated lateral movements
. The Journal of nervous and mental disease . ked improvement in supraduction, and 4 days later hecomplained for the first time of diplopia, and a careful studyof the movements of the eyes showed that there remained onlya paresis of the left superior rectus. Yesterday all of the mus-cles (intra- and extra-ocular) seemed to have regained theirfull power. There is still glycosuria. Summary: A. S., fifty-seven years of age, (Dec. 3, 1904)suddenly became dizzy and complained of blurred sight. Hehad used alcohol and tobacco to excess. Convergence wasweak and nystagmic. Associated lateral movements were not PRESIDENTIAL ADDRESS 507 limited, but were accompanied by short nystagmic jerks. As-sociated upward movements were lost. Reaction to light waspreserved. The disc was red gray with incipient neuritis. I saw the patient Dec. 3. 1904. He had been having head-ache. He had slight drooping of the upper lids. He had nosigns of implication of his nervous system other than thosementioned. Ten days later there was marked improvement in supra-. Fig. 11. Attempt to look upward. Forehead is wrinkled, but eyeballs do not move upward.(Case 6.) duction and four days bter he complained for the first timeof diplopia. There was then only paresis of the left superiorrectus. By Dec. 28. 1904, all the ocular muscles had regainedtheir full power. Case 6. S. Hea., sixty-three years old, referred for examin-ation by Dr. de Schweinitz, Dec. 14, 1904. 5o8 WILLIAM G. SPILLER The patient is married and has six children. He attributeshis condition to the atmosphere from oil works. He ha»tremor, especially in the lower limbs. He denies all venerealdiseases. He has been very alcoholic and has had difficulty in
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