Cincinnati Academy of Medicine.
—At the opening meeting, September 19, Dr. Johnston exhibited a baby but a few weeks old afflicted with spina bifida and double clubfoot. The child had had an imperforate anus, which had been operated upon when the infant was about twelve hours old. No muscular tissue was found during the operation. The dissections were made entirely through cellular tissue, and the edges of the lower bowel, found opposite the sacral promontory, brought down and stitched to the skin. The result has been good, but undoubtedly the child will suffer from the loss of muscular tissue around the new rectum. The spina bifida occupies the lower dorsal region and does not contain the cord. The regular paper of the evening was read by Dr. J. A. Thompson, on "Nasal Headaches with Illustrative Cases." The causes reported with cases included hypertrophic rhinitis, atrophic rhinitis, either of the above