citable idiot ; semi-mute, able only to feed herself. Mischievous, de- 
structive, unclean, and hard to manage. Nervous and restless, con- 
stantly in motion, running and walking to and fro. Unconscious of 
danger, quarrelsome, pinching and biting other children, herself in- 
sensitive to pain. 

Craniectomized at 8 years of age; became more nervous, con- 
tinually tearing face and clothing and picking at wood-work. 
Spasms increased in force and frequency, as did her restlessness and 
cruelty ; would attack anyone within reach. Filthy day and night, 
retrograded rapidly. 

First-born ; full term ; nourished by mother who was much troubled 
during pregnancy. Father a carpenter, aged 25, and mother 24, at 
time of child's birth. 

Case B. — F. B. Boy; aged 11 years. Superficial apathetic idiot; 
epileptic. Semi-mute ; sight and hearing good. Understands simple 
language. Is partially paralyzed and very frail. Can feed himself 
but is otherwise helpless. 

Linear craniectomy was performed when 7 years old, without the 
slightest improvement resulting. 

First-born, full term, labor ordinary. Father, an artisan, aged