THE patient whose case I am about to detail is a young gentleman aged twenty-four. About May, 1888, he noticed an increasing difficulty in breathing through the left nostril, accompanied by an offensive smell, but without pain. The nostril after a while became stopped, and he then found that the right side began to be similarly affected. At this time he had frequent attacks of giddiness, his memory began to fail, and he found difficulty in concentrating his attention on any kind of work. He

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... t about eighteen hours out of the twenty-four, and during the remaining six was so drowsy that he could sleep at any moment, These symptoms continued with more or less constancy until he had been under my treatment for some time, when they gradually abated. In November, 1889, being then in America, and finding his symptoms getting progressively worse, both nostrils being stopped, be consulted Dr. Isaac Barton, of Philadelphia, who examined his anterior nares and recognised a tumour in the left nostril, which, he said, was a polypus. He treated it by burning-i-whether with chemicals or cautery is not quite clear-but it grew faster than it was destroyed. At this time he was attacked by violent earache, which lasted a week and ceased with the discharge of a quantity of matter from the left ear In the following month he went to Prof. Garretson, who, recognising a tumour in the posterior nares, split his soft