e traumatic; it may be the result of
either primary or secondary malnutrition or degeneration.

There are some cases on record in which the sudden loss and the sudden
return of the voice are quite marvelous.

Habershon reports the case of a woman who on seeing one of her children
scalded fell unconscious and motionless, and remained without food for
three days. It was then found that she suffered from complete aphasia.
Five weeks after the incident she could articulate only in a very
limited vocabulary.

In the Philosophical Transactions Archdeacon Squire tells of the case
of Henry Axford, who lost the power of articulation for four years;
after a horrible dream following a debauch he immediately regained his
voice, and thereafter he was able to articulate without difficulty.

Ball records a curious case of what he calls hysteric aphonia. The
patient was a young lady who for several months could neither sing nor
speak, but on hearing her sister sing a favorite song, she began to
sing herself; but, although she could sing, speech did not return for
several weeks. Ball remarks that during sleep such patients may cry out
loudly in the natural voice.

Wadham reports the case of a boy of eighteen who was admitted to his
ward suffering with hemiplegia of the left side. Aphasia developed
several days after admission and continued complete for three months.
The boy gradually but imperfectly recovered his speech. Over six months
after the original admission he was readmitted with necrosis of the
jaw, for which he underwent operation, and was discharged a month
later. From this time on he became progressively emaciated until his
death, twelve months after Wadham first saw him. A postmortem
examination showed nearly total destruction of the Island of Reil,
popularly called the speech-center. Jackson mentions a hemiplegic
patient with aphasia who could only utter the words "come on to me,"
"come on," and "yes" and "no." Bristowe cites the history of a sailor
of thirty-six, a patient of St. Thomas Hospital, London, who suffered
from aphasia for nine months. His case was carefully explained to him
and he nodded assent to all the explanations of the process of speech
as though he understood all thoroughly. He was gradually educated to
speak again by practicing the various sounds. It may be worth while to
state that after restoration of speech he spoke with his original
American accent.

Ogle quotes six cases of loss of speech