In an article published in 1926 I1 made the statement that there was no longer any doubt as to the efficacy of sympathetic ramisection in certain cases of spastic paralysis. Two more years have elapsed and in the further follow-up of these cases nothing has occurred to necessitate qualification of that statement.
It need not be argued that any form of treatment which ameliorates the condition of these patients is worth while. The care of those who are mentally impaired may be made easier, and valuable citizens may be made of those who are normal.
Muscular rigidity or spasticity in these cases may be defined as an interference with immediate relaxation in an opposing muscle or group when one has been willed to act. It is this factor which is responsible for the lack of control, for the development of deformities, and for the fatigue which removes the patient