For the organic nature of this lesion, the numerous early eschars, the persistent sphincter disturbances, the limited paresis of the legs, the reflex disorders, and the dissociation of sensations seem abundant evidence. It is probable that there was no fracture of the vertebrae (X-ray confirmation), and it is probable that there was a meningeal hemorrhage, together with some hemorrhagic foci in the spinal cord substance, especially in the gray matter. A good deal remains doubtful: Mendelssohn remarks that the sphincter disturbances ought to be related to disorder of the fourth and fifth sacral segments, and the knee-jerk and Achilles jerk absence with disorder of the lower lumbar, and sacral region; the abdominal reflex disorder with the low thoracic lesion; the distribution of the anesthesia ought to indicate a lesion in the lower part of the spinal cord. Was not the hemorrhage therefore lower down than the spot where the vertebrae were displaced? It is surely of prognostic note that the eschars did not necessarily foretell a fatal outcome; in fact, the patient had become functionally well before the seventh eschar was healed over. Shell explosion with subject lying down applied to machine-gun; no contusion: HEMATOMYELIA. Partial recovery. =Case 209.= (BABINSKI, June, 1915.) A veterinary student, six months captive in Germany, wrote out for Babinski the following: “September 1, 1914, I was about to operate a machine gun when a shrapnel shell exploded very near me,--probably about two or three metres overhead. I base this estimate on comparisons made with shells I saw exploded beside me before this one. “Just after the explosion, which deafened me and at the same time took my breath away a little, from the powder, I felt a rather severe pain in the kidney region,--a pain which then persisted without interruption. I moved my left arm, to find the effect produced by a bullet which I heard whistle by my ear and which struck the upper part of the left shoulder without entering. At the same time, I tried to turn to see what had become of my legs, and had a feeling that they had vanished. Almost immediately I felt little prickings, not very painful, in the lumbar region and in the upper part of the thighs. Just then, seeing my comrades going away I tried to imitate them, but could not. All these feelings passed very rapidly.