The Neuroglia Elements in the Human Brain

mEDICAL JOURNAL -severe and some slighter fits every twenty-four lhours till the operationi. I need only describe one, for Dr. Johll Smith, with whom I saw the case, the house physician, and clinical assistanlts at Guy's Hospital, and I myself agreed that the fits were all similar, except that they differed in degree. The patient knew when a fit was comiing on by a senisation of numbness and tingling in the right finigers anld thulb. Then in less than a minute there were a series of rapidly-repeated extensionstof the right wrist and metacalpo-phalangeal joints. At the same time there were a series of rapid abductioiis of the lhand to the ulnar side. The next stage consisted of rapid flexionis of the phalangeal and metacarpo- phalangeal jOinits, so that the fingers were dug into the palms of the hlands, causing considerable pain. Then followed a series of rapid flexions and extensions of the elbow, after which the fit was over. It usually, lasted, exclusive of the stage of numbness, about niinety seconds. The sliglhter fits were miluch shorter, and consisted only of a little move- ment of the fingers. In a few, after the flexions of the elbow, the shoulder was for a few seconds rapidly adducted and abducted, and the head was jerked to the left. It is said that she was unconscious after the first fit, but those observed by us were never followed by unconsciousness.