Coming to me at the age of 7 years, immediately after an operation 
of linear craniectomy, he was a bright-faced attractive boy, withblack eyes and hair ; erect and good physique. Speech, sight, and 
hearing perfect. Affectionate, truthful, obedient, tidy in dress, 
cleanly in habits. Table manners excellent. Understood language 
and had a fair vocabulary. Powers of imitation and memory good, 
but attention poor. Knew nothing of color, form or number. 
Upon entering the kindergarten, was inclined to be a little slow, but 
when stimulated, responded and became eager to learn. Sense of 
perception developed rapidly. Readily recognized articles by touch. 
Developed an excellent singing voice. Learned to march and dance 
gracefully. Passionately fond of music, and animals, learned to 
read, write, to draw and model in clay.In his ninth year there was a sudden change in his moral nature. 
Became stubborn, disobedient, untruthful, and a kleptomaniac, steal- 
ing articles for which he had no use, covering up his tracks with 
the utmost cleverness. He began to grow silly and there was a re- 
currence of epileptic attacks, from which there had been immunity 
for five years. There was a marked change also in mental condi- 
tion, and he would sit listless or aimlessly scribbling on slate or 
paper. Within two years, as spasms gradually decreased and finally 
ceased, he emerged from this lethargy and returned to his former 
condition — moral and mental. His improvement I consider due to 
the cessation of the spasms, training, and treatment, and to the indi- 
vidual care he has received. I can see no benefit traceable to the 
craniectomy.Fourth-born, full term ; labor ordinary. Apparently normal when 
born, had several falls during infancy, but nothing unusual was 
noticed until at 12 months, after an attack of whooping-cough he 
appeared peculiar, and at 3 years developed epilepsy. 

Father a stone-cutter, was 37 ; tnother 29, when F. was born.