A CASE OF PECULIAR AFFECTI0N OF SPEECH, WITH COMMENTARY
On Affections of Speech from Brain Disease " came into my hands, that to take advantage of it and discnss points in which we appear to differ would necessitate its entire reconstruction. It is, moreover"simply a mi/moire pour servir, and does not pretend to give a complete account of the relations of derangements of speech with lesions in the brain, but presents the question from a particular point of view. This, it is hoped, will explain and .excuse the absence of reference to the work of
... to the work of Jackson, Bastian, Ogle, and others, in the same field, the value of which to science, and its instructiveness to myself, I shall always be forward to acknowledge. The patient, a well-educated and intelligent young man, was admitted under the care of Dr. Sieveking, Jan. 18, 1878. Eight years previously he had contracted syphilis, and suffered from secondary manifestations of this disease. For a year he had noticed that wine had an unusual effect upon him, a single glass making him feel intoxicated, and he had had occasional seizures, during which he lost his sight and almost consciousness; his limbs trembled, and he had to grasp something to prevent himself from falling. These fltfl of petit mcd lasted from two to five minutes. About a fortnight before his admission he was suddenly seized with right hemiplegia and loss of speech. It was stated by the friend who brought him that this had come on.