“As to the case of Richard Marshall, a patient under the provisions of the temporary care act from December 1 to December 10, inclusive, this case has proved unusually interesting in that the patient has proved to be syphilitic by the Wassermann reaction of the blood. There is no evidence of syphilis in the examination of the cerebrospinal fluid. The X-ray examination of the skull, taken in connection with the Wassermann reaction of the blood, warrants the diagnosis of syphilitic osteitis of the skull at the site of the old injury. We regard his present condition as shown by the X-ray as a syphilitic bone condition predisposed to by the injury. We do not find that the patient has any features of traumatic neurosis. “Mentally, having an actual age of 30, patient grades at 11.2 years. It may be that patient has always been a moron. He has earned about $8.30 a week. “We regard the patient as deserving treatment and feel that responsible parties in the case would do well to have such treatment instituted.” The principal symptom of which Marshall complained was headache chiefly felt in the region of the osteitis. There was marked sensitiveness to percussion in this area. It is of course difficult to decide whether the headache was entirely due to the gummatous lesions or whether the trauma had caused contusions of the brain as well. It is also possible that the dura underlying this area was involved. =OCCUPATION-NEUROSIS in a granite-cutter: SYPHILITIC NEURITIS?= =Case 94.= David Fitzpatrick was a case referred to the Psychopathic Hospital by the Industrial Accident Board. He was a granite-cutter of 52 years of age, and had begun to complain of pain in the forearm, extending back from the elbow, about six months before admission. It seems that the patient had been growing progressively worse and had thought he would have to quit work because of difficulty in grasping the hammer. A physician had told him that he must stop his work at granite-cutting or else he would entirely lose the use of his arm. He was in point of fact laid off because of slackness of work and had been unable to get work again. The pain in the arm, however, had continued and at times was very severe. Sometimes the pain and the worry led to insomnia. Fitzpatrick wanted the insurance company to pay certain accumulated bills, and maintained that he would be able to do work at $15 a week if work could be found for him. The general situation in this case can be gathered from the following abstract from the report to the Industrial Accident Board. “Secretary Industrial Accident Board, “Dear Sir: “_In re_ David Fitzpatrick