with some degree of melancholy or mental despondency after delivery, but during a convalescence otherwise normal, Mrs. M’I---- presents to our notice a condition of suspended consciousness and disordered innervation in no degree less extreme than the ‘trances’ or cataleptic attacks which have been recorded as the result of the most aggravated hysteria, or as the miracles of religious ecstasy and profound mental emotion. She becomes for the long period of over a hundred and sixty days continuously an almost mindless automaton, connected with the external world only through a few insignificant reflexes and through the organic functions. She is absolutely passive as regards everything that demands spontaneous movement, and betrays almost no sign of sensation, general or special, when subjected to the severest tests that can be applied short of physical injury.” [CASE REPORTED BY PROF. W. T. GAIRDNER.] In further notes upon the case, in the _Lancet_ of January 12, 1884, p. 58, Professor Gairdner says:-- “The only other case to which I desire to make allusion at present is one in which I am, fortunately, in a position to furnish a sequel to an incomplete narrative, not without resemblance to the one lately published in this journal. ‘A Case of Trance’ was the subject of a paragraph in the _British Medical Journal_ of May 31, 1879, p. 827, from which it appeared that in the London Hospital a woman, twenty-seven years of age, was at the time under the care of Dr. Langdon Down, being of rather small stature and weak mental capacity, and affected for at least two years with organic disease of the heart. About three weeks before the date of the report she had become suddenly somnolent, with most of the peculiarities in her sleep which have been already alluded to. She was fed partly by nutrient enemata, and for some days by a tube passed through the nostrils into the stomach. The resemblance is noted between this case and that of ‘the famous Welsh fasting girl,’ then attracting much attention in newspapers and otherwise. There being no further reference to this case in the journal, I wrote to Dr. Langdon Down, who kindly furnished me with the following additional particulars, which will, no doubt, be read even now with interest:--‘My patient, who was in a state of trance, recovered somewhat suddenly after about four weeks, and left the hospital. The first indication of returning consciousness was observed when I was reading to my class at her bedside one of the numerous letters that I had received entreating me not to have her buried until something which the writers recommended had been done. The paragraph of the medical journal got into some Welsh paper, and then went the round of the provincial press, hence the number of letters I received. This special one was from an old gentleman of eighty-four years, who, when he was twenty-four, was thought to be dead, and whose friends had assembled to follow him to the grave, when