Journal of ophthalmology, otology and laryngology . of the muscles of O. D. = 20/20 with plus sphere combined with a onecylinder axis 150. Good pupillary reaction. No consensual pupillaryreaction when light is thrown in the left eye. Fundus was left eye, V. = O. pupil widely dilated; no pupillary patient was carefully examined, no other neurological signscould be found. The X-ray of the head was negative as also theWassermann. 423 Gilbert J. Palen. i The condition, as outlined, has remained unchanged since I firstsaw the patient in November
Journal of ophthalmology, otology and laryngology . of the muscles of O. D. = 20/20 with plus sphere combined with a onecylinder axis 150. Good pupillary reaction. No consensual pupillaryreaction when light is thrown in the left eye. Fundus was left eye, V. = O. pupil widely dilated; no pupillary patient was carefully examined, no other neurological signscould be found. The X-ray of the head was negative as also theWassermann. 423 Gilbert J. Palen. i The condition, as outlined, has remained unchanged since I firstsaw the patient in November. During this time and previous tothis time she received antispecific treatment. The sensations whichshe has in the face are not due to anesthesia, being rather a paraes-thesia with attacks of drawing coming on spasmodically. It is evidentthat this patient had primarily a paralysis bf the left abducens and sev-eral years later involvement of the ocular motor. That the trochlearisstill was showing some function at the time I first saw her is shown. Fig. II. Looking up. To demonstrate ptosis. by the movements of the eyeball downward and outward. This, later,however, was lost. Further, there is involvement of the optic nerveand of the sensory branches of the fifth; the motor branch lesion to produce involvement of these various nerves must be abasal one and of a diffuse character. The only cause suggested bythe history being the miscarriages. Despite, however, thorough anti-specific treatment, there has been no improvement in the Chestnut. 424 INTRA-NASAL OBSTRUCTIONS. THEIR RE-MOVAL IN YOUNG CHILDREN. George J. Alexander, M. D., Philadelphia, Pa. HE importance and necessity of the removal of adenoids and hypertrophied tonsils that are obstructive to respiration have been so well established by the medical profession, and by thisbody so thoroughly instilled into the minds of the general public, thatit is a common occurrence for the lay person to make a dia
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