a variety of treatment, but without any benefit or effect
of any kind. Upon the most careful examination of the patient and his
history, Professor Pooley could not discover anything that seemed to
throw any light upon the case, except a condition of well-marked
phimosis. Acting upon this, the Professor immediately circumcised the
child, and from the very day of the operation the spasmodic action began
to diminish, and in two weeks he was entirely well, without any other
treatment of any kind.

Dr. W. R. McMahon, of Huntington, Indiana, has reported three cases of
epilepsy in children caused by congenital phimosis that were entirely
relieved by an operation without any subsequent return of the
difficulty. One of the cases was in a boy ten years old, with very firm
preputial adhesions and a high grade of inflammation of the parts.

Dr. J. D. Griffith, of Kansas City, Mo., operated on a case of phimosis
on a child nearly three years of age, who was afflicted with repeated
attacks of convulsions and paralysis of the hips and lower extremities;
the little fellow had as many as fifteen convulsions in a day; the
patient was greatly troubled with painful urination and priapism. On
examination at the operation, a firmly adherent prepuce and a large roll
of caseous matter was found just back of the corona. A complete recovery
followed the removal of these conditions.

The above cases are taken from the paper read before the Section of
Diseases of Children at the International Medical Congress of 1887, by
Dr. Sayre. It contains a number of additional cases of an analogous
character to the above, reported to him by physicians in different parts
of the country. They show the variety, extent, and far-reaching
character of the diseases induced by any preputial irritation. Dr. G. L.
Magruder, of Washington, D. C., in the same paper, has a record of
twenty-five cases of various nervous disturbances which he had entirely
relieved by circumcision or dilatation, without any medication whatever.
Dr. Magruder, in concluding his report, in which he quotes the authority
of Brown-Sequard, Charcot, and Leyden, as having noticed serious nervous
disturbances resulting from reflex irritation due to affections of the
genito-urinary organs, observes as follows:--

"From the foregoing, I think that we are justified in the conclusion
that phimosis and adherent prepuce give rise to varied troubles of more
or less gravity, manifesting themselves eith