On account of the extensive and serious pathologic condition, involving vital structures and very confusing and misleading symptoms, the following case is considered of sufficient interet for discussion:
—On Dec. 7, 1905, J. J. H., aged 51, was brought to me by Dr. E. V. Seay of Salvisa, Ky., with the following history: He had been troubled for many years with nasal catarrh; at times large quantities of pus would discharge from nose, and this would be followed by great relief for some days or weeks. Six months previously he had a prolonged attack of malarial fever. Two weeks ago he began sufferingting pains in frontal region between the eyes, pain being aggravated by jarring the bed or when in a stooping position. He suffered greatly from nausea, mental depression and insomnia.
—His gait was unsteady, inclining to the right as he walked across the room. Skin was