MEDICAL HISTORY BY DR. BROWN.
—Miss R. M., aged 19 years and 3 months, was first seen by me June 10, 1903, in consultation with Dr. Smiley, her family physician.
—In March, 1903, she had a bilious attack with vomiting similar to attacks that she frequently had had either from overeating or from overfatigue. She was somewhat run down at the time of this attack, which was followed by a period of indigestion. She vomited some bile, the vomiting bearing very vague relation to eating. Two weeks later a paralysis of the left external rectus was noticed and there developed slowly an apparent paralysis of the right external rectus. During the early part of the month of March she did considerable fine hemstitching out of doors while driving. This time for doing it was chosen in order to avoid its being known. During