ft buttock fold; _exit_, at anterior aspect
of thigh, 3-1/2 inches below Poupart's ligament. The left leg
was paralysed, and patient was sent down to the Base, where he
remained two months. The wound closed by primary union, the
paralysis improved, and the man rejoined his regiment. After he
had been in camp four days, his leg gave way, and he returned
to hospital, where he contracted enteric fever. Later, he was
sent home, and eight months after the reception of the injury
his condition was as follows:

Left lower limb somewhat wasted, a diminution of 1 inch in the
circumference of the leg and 1/2 an inch in the thigh being
found. The patient walks with foot-drop, and the flexor muscles
of the knee are weak. On examination the peroneal muscles
reacted but sluggishly to faradic irritation. There is complete
anaesthesia of the foot to above the ankle, and up to the knee
tactile sensation and appreciation of pain were dulled. The
left plantar reflex was absent, the right slight, the left
patellar reflex was abnormally brisk. There was neither ankle
nor patellar clonus, and the other reflexes were present and
normal. The gait was spastic, and the patient was more troubled
by a contraction of the calf muscles, which prevented his
putting the heel to the ground, than by the foot-drop.

Beyond these local phenomena there was marked tremor of the
upper extremities on any exertion, and slight lateral
nystagmus. The patient was not sure that this had not been
present ever since he recovered from the enteric fever, but it
was sufficiently marked to give rise to the suspicion of the
development of disseminated sclerosis.

The patient was a hard-headed, sensible man. He remained in the
hospital under the care of Dr. Turney, to whom I am indebted
for notes of the case, forty-six days. During this period he
was treated by faradic electricity, and, with some checks,
notably the development of passive effusion into the left
knee-joint, and a fugitive attack of redness over the dorsum of
the foot, both suggesting trophic changes, steadily improved.
The anaesthesia became limited to the outer half of the leg, at
the end of one month was limited to the dorsum of the foot
only, and at the end of six weeks entirely disappeared.
Meanwhile the tendency