al nerve in the
left leg. There was some general oedema of the legs,
especially of the right, possibly in connection with the
herpetic eruption which was now disappearing. Muscular
tenderness had disappeared. There was also definite improvement
in the size and tone of the peroneal muscles, although no motor
power was regained.

At the end of five months, slight gradual improvement was still
taking place, but the loss of power was nearly as extensive as
when the last note was taken. The skin of the right leg was
glossy, that of the left apparently normal. At times some
hyperaesthesia of the soles was noted, and the plantar reflex
was very brisk.

The right anterior tibial and musculo-cutaneous groups of
muscles reacted to the strongest faradic current, not to any
galvanic current below 20-25 m.a., contraction very sluggish.
The same muscles in the left leg also reacted to the strongest
faradic current, but only locally, with no sort of effect on
the tendons. Similar contractions could be induced in the right
quadriceps, but none in the left (Dr. Turney).

Appreciation of heat and cold applied to the skin was fair,
but, in the case of heat, distinctly slow in the right leg and
foot.

At the end of seven months improvement was still taking place;
the patient could now stand, walk a little with crutches, and
even ascend and descend a staircase.

* * * * *

_Severe concussion, contusion, or medullary haemorrhage
producing signs of total transverse lesion, and complete
transverse section._--The symptoms of these conditions will be
taken together, because, with very slight variations, they may
be considered as lesions of equal degree as to severity, bad
prognosis, and unsuitability for active interference.

All were characterised by the exhibition of the same essential
phenomena, symmetrical abolition of sensation and motor power
on either side of the body, absence of any signs of irritation
in the paralysed area, and loss of patellar reflex. In a small
number of the cases of medullary haemorrhage some return of
sensation was observed prior to death; in a still smaller,
traces of motor power, and in one or two irritability of the
muscles or feeble reflexes pointed to the fact that destruction