157 desist at the end of another week owing to paresis of the , limbs, which had been preceded by vague pains and numbness in the hands and feet. The paralysis affected not only the arms and the legs but also the powers of speech and of swallowing. When he took to bed he could stand and walk, but the paralysis gradually became so complete that within a fortnight he could not stand. He had had no ocular or facial paralysis and no breathlessness or palpitation.