The question of traumatic paresis is of great interest on account of the war. The great strain under which the men at the front live and the physical injury due to being “buried” is probably responsible for an increasing number of cases of neurosyphilis. Such at least is the impression of Canadian medical officers with whom we have spoken. See Section VI, Neurosyphilis and the War. =Traumatic exacerbation(?) in PARETIC NEUROSYPHILIS (“general paresis”).= =Case 92.= The case of Joseph Larkin was of note from the point of view of the Industrial Accident Board. This Irish teamster was said to have been injured in his head two or three months before coming up for examination at the age of 45. For a week Larkin had had frontal headaches, had been sleeping poorly, and had been somewhat worried. In fact, he had stopped work. The W. R. of the serum was positive and a diagnosis of PARESIS could be made. The case did not come up for consideration by the Industrial Board until two years after his initial appearance. The =physical examination= showed irregular pupils, sluggish pupillary reactions, Achilles absent, swaying in the Romberg position, enlargement of the heart to the left, positive W. R. of the blood and of the spinal fluid. =Mentally=, the patient’s orientation for place was poor and his memory defective. Emotionally he was depressed or apathetic and was apprehensive. His flow of thought was slow, and his insight into his condition poor. It is interesting that a variety of causes have been assigned in this case for the condition: such as, his work, anemia, unhygienic surroundings, and arteriosclerosis. This case is not a sharply-defined case of post-traumatic general paresis, since there had undoubtedly been a variety of mental changes before the accident. Accordingly, recovery of damages to a full amount could hardly be expected as in certain cases in which the phenomena of paresis appear only after the trauma. [Illustration: Post-traumatic cranial gumma—developing 13 months after local injury of skull. ] =Trauma: syphilitic lesion of skull at site of injury.= =Case 93.= The medicolegal interest of Richard Marshall is extreme, as may be seen from the following brief report by the Psychopathic Hospital to the Industrial Board.