The following case is deemed of sufficient interest to report on account of its very protracted course and the occurrence of the condition resembling dementia, which rendered the diagnosis of brain tumor very difficult. Dr. Kendig, who had the case under observation in its last stages, reports the following clinical history:
Patient.
—J. A. was admitted to Longview Hospital Dec. 12, 1903, with practically no history except that he had been insane for eight months previous to the time of admission, this being his first attack of insanity. The patient died under our care and the case was reported at the meeting of the Cincinnati Neurological Society, when Dr. F. W. Langdon remembered having seen the patient in 1897, and I am indebted to him for the notes of his examination made at that time—July 17, 1897: Age 52, single, occupation, traveling salesman. There are notes about his