been without its evil results on the constitution and organism of the child. The next case was born November 2, 1888; a large, healthy boy at birth. By June of the following year the child was afflicted with what the mother called "jerky spells;" up to this time the boy seemed listless, did not care to sit up, and seemed from some cause to be in more or less pain, with his eyes turned to the left. The parents dreaded that the child, their only one, would turn out idiotic. The spasmodic spells alluded to were of a tetanic nature, the body being thrown backward; his head and eyes continued to be turned to the left, and nothing could attract the child's attention. The boy cried night and day, but he was in good flesh, had all the teeth he should have, bowels were regular, and the appetite good. Whatever the doctor did in the medical way seemed to be of no avail. One day, however, he thought of examining the prepuce, thinking, perhaps, that it might be contracted and that the convulsive movements might be reflexes from the parts. On examination the prepuce was found elongated and distended, with a very minute opening; this was dilated with difficulty, when the inner fold was found adhering almost the whole extent of the glans; the dilatation and breaking down of these adhesions was slowly persevered in, until sufficient dilatation was obtained and the glans was freed. From the very first operation the convulsions commenced to diminish, both in force and frequency, and a constant and rapid improvement of the child took place. Six months afterward the boy was perfectly normal, stood by himself, played with play-things, and was an interested member of the family circle. Case No. 3 was a repetition of Case No. 2, except that, with the experience of the latter case, the doctor wasted no time with medication, but proceeded at once to examine the prepuce, which was found to be very long, and with a pin-hole opening. The dilatation of this and the breaking up of the adhesions gave immediate relief. During the course of the paper he quoted the case related by Brown-Sequard, and recorded in the New York _Medical Record_, vol. xxxiv, p. 314, where he "related a very interesting case that presented all the rational signs of advanced cerebral disease, a case that he considered quite hopeless, that was relieved by an operation for phimosis and the treatment of an inflammatory condition of the glans penis." To use Brown-Sequard's own words, "So rapid was the recovery that within six weeks from the day of the operation he presented himself at my office perfectly well in every respect."