. The Journal of nervous and mental disease . uch degenerated in thecervical region. There is no meningitis about the medulla oblongata orspinal cord. The nerve cells of the anterior horns of thecervical and lumbar regions stain well by the thionin method. Weigert hematoxylin sections show intense degenerationof the left anterior pyramid, of the left direct pyramidal tract,and of the right crossed pyramidal tract. The tumor in the middle portion of the pons, antero-pos-teriorly, invades a little the right side of the pons (see Fig. 2),but the greater part of the right pyramidal tract is not in


. The Journal of nervous and mental disease . uch degenerated in thecervical region. There is no meningitis about the medulla oblongata orspinal cord. The nerve cells of the anterior horns of thecervical and lumbar regions stain well by the thionin method. Weigert hematoxylin sections show intense degenerationof the left anterior pyramid, of the left direct pyramidal tract,and of the right crossed pyramidal tract. The tumor in the middle portion of the pons, antero-pos-teriorly, invades a little the right side of the pons (see Fig. 2),but the greater part of the right pyramidal tract is not involved 438 WILLIAM G. SPILLER in the growth. The aqueduct of Sylvius is much compressedand appears as a long narrow slit. Almost the entire left halfof the pons is destroyed, a narrow zone at the ventral part es-caping. The tumor in transverse section is nearly the tumor is not sharply defined from thesurrounding tissue, and its peripheral zones consist of mono-nuclear cells with round nuclei. The central portion of the. Fig. 2. Tubercle in the left side of the pons. tumor is degenerated, and the cells do not stain well. Thetubercle bacillus was not found. The tumor has the appear-ance of a tubercle. Summary: B. Galik, a male aged thirty-one years, had beenparetic (Aug. n, 1904) nine months in the right limbs. Hewas paretic in both sides of his face, especially in the left side,and in the left muscles of mastication, and had fibrillarv trem- PRESIDENTIAL ADDRESS 439 ors of the left masseter muscle, and of the right side of thetongue. The tendon reflexes in the right upper and lowerlimbs were exaggerated. Diminution of sensation and somewasting were observed in the right upper and lower movements of both eyeballs upward were impaired, andthere was complete loss of movement of the left eyeball to theleft, and marked impairment of movement of right eyeball tothe left; also, impairment of movement of right eyeball, butnot of left eyeball, to the righ


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Keywords: ., bookcentury1800, bookdecade1870, booksubjectpsychologypathologic