. The Journal of nervous and mental disease . f the oculomotor nuclei were slightly degenerated,but the left oculomotor nucleus was much displaced in its pos-terior portion, and the function of the nerve cells here musthave been interfered with. The pupil in this case was smaller on the side of the tumor. It seems difficult to explain the absence of paralysis ofassociated ocular movement to the right: unless it is becausethe ocular examination was made two months before deathoccurred, and at that time the turbercle had not extended tothe rig-lit side of the pons. The mans intelligence became c
. The Journal of nervous and mental disease . f the oculomotor nuclei were slightly degenerated,but the left oculomotor nucleus was much displaced in its pos-terior portion, and the function of the nerve cells here musthave been interfered with. The pupil in this case was smaller on the side of the tumor. It seems difficult to explain the absence of paralysis ofassociated ocular movement to the right: unless it is becausethe ocular examination was made two months before deathoccurred, and at that time the turbercle had not extended tothe rig-lit side of the pons. The mans intelligence became con-siderably affected before death. 44Q WILLIAM G. SPILLER Case 2. Glioma of the right side of the pons. A. Moore, male, aged sixteen years, was a patient of Evans, from whom the following notes were obtained: His parents and two sisters were living and well. Hismaternal grandfather died of apoplexy at seventy-one had always had good health until the early part of July,1904, when he began to feel nervous, slight exertion made. Fig. 3. Attempt to converge. Notice position ofleft eye. The left eye is moved more toward theright than when the attempt is made to move botheyeballs to the right ( see Fig. 5). Notice the markeddeviation of the lower jaw to the right when themouth is opened, this being the result of paralysis ofthe right external pterygoid muscle. him tired, he became dizzy, had headache and a tendency toturn to the left, and he staggered slightly in walking. Hissight became dim, and at times he had diplopia. IRESIDEN TIAL ADDRESS 441 15, 1904, and notes He was seen by Dr. C. S. Potts by him at that time are as follows : He sits with the head retracted and bent to the left, thechin pointing- to the right, although he can hold it straight ifhe makes an effort to do so. He has ptosis of the left pupils are equal and respond to light and in accommoda-tion. Some weakness of the external rectus of the right side
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