DESCRIPTION OF PLATE.-Fig. 1. Asym metry of expression in the lower part of the face in the ease of an imbecile. Fig. 2. A case of acute melancholia with visceral delusions. Fig. 3. Asymmetry in the forehead, assumed with certain emotional states, in a young phthisical woman. Fig. 4. Another instance of asymmetry in the forehead in a case of melancholia. Fig. 5. A case of acute melan cholia. Fig. 6. Asymmetry of the forehead in a case of chronic insanity. (Turner.) Bilateral hxmatoma of the lobule occur as the result of traction (violence) on these parts. (Archives of Otology, July, '94.) Absence of overlapping of the anterior portion of the upper dental arcades over the lower is a stigma of degeneration. Camuset (Annales Medico-psychol., Nov., '94).
There is strong evidence in favor of the contention that the proclivity of the insane to othmmatoma is due to a pe culiar degeneration in the cartilage of the ear. This change is brought about by the same abnormal nutritional state which induces lesions of scalp, skull, and dura miter, to which the insane are spe cially prone. Middlemass and Robinson (Edinburgh Med. Jour., Dec., '94).
There is no relation between physical and moral deformities. Individuals who, from a moral point of view, are depraved may be regular physically and vice versa. Legrain (Le Presse Med., Dee. 21, '95).
As to whether thickened skulls cause mental aberration, personal view ex pressed that flattening of one side of the skull, obliteration of the sutures, and other irregularities are the precursors of affections of the brain; and that the Pacchionian bodies when enlarged may cause cerebral disturbances. J. F. Bris coe (Jour. Mental Science, Apr., '9S).
Defective mental condition is associ ated usually, especially in the congenital class of eases, with certain physical char acteristics, such as a defective hand, de formed palate, wandering eye, a want of co-ordinating power of the body and limbs, and inertness or too great rest lessness. Beach (Treatment, Oct. 13,'9S).
Deformity of the pupil has hitherto been supposed to occur but rarely among the insane, excepting in general paralysis. Pupillary disturbance has
been noted in alcoholic dementia, or ganic dementia, periodic mania, and in insanity of toxic or infectious origin. But Mignot's- thesis shows how com monly these occur. The writer found deformities of the pupil in S3 per cent. of the 77 insane patients examined. In :37 per cent. the pupils were unequal, in 12 per cent. myotic, in 15 per cent. mydriatic, and in 41 per cent. deformed. In 44 per cent. there was some trouble in the reaction to light, in 29 per cent. sonic trouble in the reaction to accom modation, and in 27 per cent. A•gyll Robertson pupils. Pupillary disturb ances arc excessively frequent among the insane, especially inequality of the pupils. E. Marandon de Montyel (La Presse Med., Sept. IS, 1901).
Pupillary alterations in the insane are not transitory, but lasting. The find ings are regarded as valuable in the differentiation of insanity from general paralysis. De Montyel (Oaz. Hebdom. de Mid. et de Chir., Jan. 5. 1902).
Bed-sores develop with great rapidity in the insane, especially general paretics and epileptics. A peculiar fragility of the long bones has also been noted.
In chronic di-ease of the central nerv °us system, especially in insanity, the ribs are apt to undergo very consider able morbid changes, which give rise to increased brittleness, and hence predis pose the bones to fracture from the slightest violence. Constantinovsky (Med. Chronicle, Oct., '90).
Statement denied that general paraly sis of the insane is accompanied by a rarefaction of the osseus tissue, leading to the ready production of fracture and retarding healing of bones, when broken. Christian (La France Med. et Paris Med., Apr. 21, '93).
Personal belief that mollities ossium may arise from gross dietetic errors, that rickets is a disease of growth, and that mollities ossium is apparently a disease of decay. The pathological conditions of bones will explain the fragility of the ribs of the sane and of the insane.