En passant, a word may here be said against the too generally accepted idea that albumen found in the urine of puerperal women, after convulsions, is an indication of a previously existing albuminuria. On five successive occasions, I examined the urine passed by this woman before the occurrence of convulsions, and within a few hours of the attack. _There was not a trace of Albumen._ Invariably I found the urine which was passed _after_ the epileptic seizure to be _highly albuminous_. It gradually resumed its normal character in from two to six days, in a direct ratio to the severity of the attack. Again, the severity of the convulsions maintained an inverse proportion to the quantity of the menstrual discharge. When this was profuse the attack was light, when scanty, more severe. The convulsions generally appeared just before, or at the beginning of the monthly flow. Latterly their occurrence has been somewhat irregular, as has also been the case with the menses. Elaterium in ¼ grain doses, frequently cut them short, but exhausted the patient to such an extent that it had to be discontinued. For several months past I have been controlling the convulsions with ½ grain doses of morphia per orem, repeating every hour until relieved. She has frequently taken two, and a few weeks ago took three such doses, without exhibiting symptoms of marked narcosis. At 9 A. M., on February 25th, I was called to see her. She had had four most violent convulsions during the previous night, and was complaining of terrible pain in the head, with nausea and vomiting. She expressed the conviction that another convulsion was imminent, and begged for relief. I immediately and without hesitation introduced ½ grain of hydrochlorate of morphia under the skin of the forearm, and having other engagements, left her. At 12 M., I was sent for, and informed that shortly after my departure, she sank into a deep sleep with stertorous breathing. All efforts to rouse her, had failed. On examination, she presented the following symptoms: There was total insensibility, except a slight twitching of the eye-lids when the conjunctiva was touched. The pupils were contracted to the size of a pin’s head. Respiration was shallow, irregular and interrupted, and numbered ten to twelve per minute. The extremities were cool and the face somewhat cyanosed. The pulse beat regularly, though feebly, 110 per minute. To my surprise, auscultation showed the _absence_ of all adventitious sounds over the region of the heart.