parts, and is not weak. The patient is unable to button his coat with his left hand alone when his eyes are closed, because of incoördination of the fingers, but can button it promptly with his right hand." (pp. 119-120.)
F. Pick describes a case which, besides other complications of partial anæsthesia, presented total ("constant totale") anæsthesia of the left side. While unable to imitate with the right leg passive movements of the left (anæsthetic), this patient could under visual guidance readily imitate with the left leg passive movements of the right. With the aid of vision he could, though hesitatingly, raise the left arm, but with eyes closed he was entirely unable to do so. However, if one passively bent the right arm (the eyes being closed) and repeated the command to bend the left or anæsthetic arm, the command was "promptly" obeyed and the movement made "in der gleichen Weise." (Ueber Transcorticale Störungen des Bewegungsapparates, Deutsches Archiv für Klin. Med., Vol. 76, pp. 144 ff.)
Hoppe describes a case of almost complete anæsthetic paralysis of the right arm, together with "well marked amnesic aphasia," besides other more or less complete disturbances of sensibility. (Soul Paralysis, Jour. of Mental and Nerv. Diseases, Vol. 32, pp. 145-159.) With reference to the sensibility of the arm the author says "the muscle sense and sense of position of limb" are "almost absent." Muscular power, however, is "almost normal." The efiect of anæsthesia upon movement is described as follows: "The arm is completely paralyzed, has not moved at all during the four weeks since onset of trouble. The arm is flaccid, relaxed, reflexes are absent, upon being requested to move the finger or hand, was not able to make the slightest movement, although she made an attempt to do so, showing that she understood the request. Very often, later on, a request to move the right hand was answered by the movement of the left hand. If the patient, however, was told to watch the doctor's hand and then to repeat the movement, the movement could be executed at once. Then the apparently completely paralyzed hand was made to extend and flex the fingers and thumb, to spread them wide apart, and to flex and extend the hand on the second day. Inside of a week all the normal movements of the arm and fingers—flexion, extension, moving of arm and placing hand on head and elevating shoulder could be done, usually only after she first saw the movements executed by the physician, and only then when she was told to watch the movement closely." (pp. [47-8. Italics mine.) With reference to the arm, Hoppe's résumé of the sensory and motor disturbances in this case is as follows: "... right sided diminution of sense of
