. Some points in the surgery of the brain and its membranes . and expectoration began on August 4. August 9.—Three fits, beginning in right arm. Fits occurred almost every dayfor two months, sometimes five or six in one day ; often confined to right the end of the two months patient had distinct hemiparesis, but could walkabout, dragging right foot. November 13.—-The fits have continued in lessening number since last note;purulent expectoration, double optic neuritis. November 25.—Left motor area exposed, and soft, non-encapsulated growth scoopedout. December 8.—Much purulent expectora
. Some points in the surgery of the brain and its membranes . and expectoration began on August 4. August 9.—Three fits, beginning in right arm. Fits occurred almost every dayfor two months, sometimes five or six in one day ; often confined to right the end of the two months patient had distinct hemiparesis, but could walkabout, dragging right foot. November 13.—-The fits have continued in lessening number since last note;purulent expectoration, double optic neuritis. November 25.—Left motor area exposed, and soft, non-encapsulated growth scoopedout. December 8.—Much purulent expectoration ; power in right arm increased con-siderably as result of operation. December 13.—Fits recommenced. January to March 1903.—Much vomiting and headache ; large hernia March 8, 1903. —Large new growth in lung. Multiple secondary growths in brain. The microscopical section shows the cells arranged in groups around the blood-vessels. The cells are mostly round ; some are oval and spindle-shaped. 164 SOME POINTS IN THE SURGERY. Fig. i.—Simple cyst of right cerebellar hemisphere. (St. Thomass HospitalMuseum, Path. Series, Part iii. 2013.) From a girl, aged 14., admitted under the care of Dr. Bristowe, November 4, months before her admission her sight began to fail, strabismus and doublevision being observed ; in a few weeks vomiting and headache came on, but duringall the time there had been no giddiness and no fits. On admission there was severe double optic neuritis, and sight was much impaired,the left eye having no perception of light ; convergent strabismus of the left was impaired on the left side. There was no paralysis or staggering, andno loss of sensation. During the five months she was under observation in thehospital there were frequent attacks of headache and vomiting. Six weeks afteradmission she was blind, and the optic discs were becoming atrophied. During thelast three months there were rather frequent f
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