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ceased to have any opinion on the subject. At the consultation, an intercranial lesion of some kind, uremic poisoning and syphilis were only mentioned to be put aside for what seemed good reasons. There was little to make out a clear proof of syphilitic infection, and the Symptoms did not resemble those of the best-known cases of cardiac gummue. On the other hand, there was everythiug in the patient's past history to point to the possibility of a complete nervous break-down ; and the idea ofdoi:10.1056/nejm189612101352404 fatcat:idpwlxhwznb6zkd2ro2bhrzjpe