April, 1865. Her mother called at my house to say that this patient had been married some months, and was shortly expecting her confinement. She had remained quite well since the operation. CASE XXIII. EPILEPTOID FITS—FIFTEEN YEARS—ILLNESS FOR TWENTY-SIX YEARS—OPERATION—CURE. F. A. C., æt. 41, single; admitted into the London Surgical Home Nov. 6, 1863. _History._—Says she had congestion of the brain fifteen years ago; since that period cannot remember being well, but from the age of fifteen has been of delicate health. Has suffered from fits for the last fourteen or fifteen years; is never long free from them. During an attack she is not entirely unconscious, but possesses no power to control them nor to speak. Has pain at lower part of spine of a gnawing character. She is a miserable, nervous creature, with pinched features and a wandering restless expression of the eye. There is evidence of injurious peripheral irritation since a very early age. Nov. 12. Operation as usual under chloroform. Nov. 19. Is wonderfully better. The expression of her face is much happier, and the face itself has filled out considerably. No pain in the back since the operation. Dec. 24. Discharged perfectly cured. CASE XXIV. HYSTERICAL EPILEPSY—LONG DURATION—OPERATION—CURE. G. C., ÆT. 25; ADMITTED INTO THE LONDON SURGICAL HOME JAN. 28, 1864. _History._—Has been delicate from childhood. For some months has suffered from a peculiar dragging pain in the lower part of the abdomen. Menstruates regularly. Suffers from “burning” and irritability of bladder. Has constant and severe headache. Has for a long time suffered from “epileptic fits” (on careful observation they were found not to be genuine epileptic), occurring twice or thrice a week. Is a melancholy object, with “woe-begone” expression; listless and indifferent to conversation and surrounding objects; when spoken to, does not answer rationally, and frequently only in monosyllables. Is very reserved and taciturn. Feb. 4. Patient being under chloroform, the clitoris was excised. Feb. 13. Progressing favourably; much improved in appearance; more cheerful; converses freely and rationally; expresses herself as grateful for her restoration to health. March 1. Having had no return of the fits, and lost all her hysterical symptoms, she was discharged cured. CASE XXV. HYSTERIA AND EPILEPTIFORM ATTACKS—MANY YEARS’ ILLNESS—OPERATION—CURE. R. D., æt. 31; admitted into the London Surgical Home Feb. 17, 1864.