dical way seemed
to be of no avail. One day, however, he thought of examining the
prepuce, thinking, perhaps, that it might be contracted and that the
convulsive movements might be reflexes from the parts. On examination
the prepuce was found elongated and distended, with a very minute
opening; this was dilated with difficulty, when the inner fold was found
adhering almost the whole extent of the glans; the dilatation and
breaking down of these adhesions was slowly persevered in, until
sufficient dilatation was obtained and the glans was freed. From the
very first operation the convulsions commenced to diminish, both in
force and frequency, and a constant and rapid improvement of the child
took place. Six months afterward the boy was perfectly normal, stood by
himself, played with play-things, and was an interested member of the
family circle.
Case No. 3 was a repetition of Case No. 2, except that, with the
experience of the latter case, the doctor wasted no time with
medication, but proceeded at once to examine the prepuce, which was
found to be very long, and with a pin-hole opening. The dilatation of
this and the breaking up of the adhesions gave immediate relief. During
the course of the paper he quoted the case related by Brown-Sequard, and
recorded in the New York _Medical Record_, vol. xxxiv, p. 314, where he
"related a very interesting case that presented all the rational signs
of advanced cerebral disease, a case that he considered quite hopeless,
that was relieved by an operation for phimosis and the treatment of an
inflammatory condition of the glans penis." To use Brown-Sequard's own
words, "So rapid was the recovery that within six weeks from the day of
the operation he presented himself at my office perfectly well in every
respect."
In the early part of this book, in speaking of female circumcision, it
was mentioned that when the medical part of the volume should be reached
some medical reasons for its necessity would be given. Dr. Price, in his
paper, gives some information on this subject, which is of the greatest
interest. In the course of the paper he says as follows: "Nor do I think
these reflex neuroses from adherent prepuce wholly confined to the male
sex. The preputium-clitoridis may be adherent and produce in the female
similar reflexes. During the session of the American Medical
Association, held in Chicago in 1874, I think, I attended one afternoon
a clinical lecture by Dr. Sayre. A little g
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