In this place I might mention two other cases of lesion of the seventh nerve secondary to wound of peripheral branches. In one a patient was struck by several fragments of lead from a bullet which broke up against a neighbouring stone. These for the most part lodged in the skin over the left orbicularis muscle, but one also lodged in the conjunctiva and was removed. Some ten days later the patient complained that he could not lift the upper lid. The levator palpebrae was normal, but spasm of the orbicularis held the eye firmly closed. The condition did not improve, and the patient was invalided home. He recovered later. In another patient a bullet entered above the right zygoma and traversed the orbits, without wounding the globes. At the time no want of power of the muscles of the face was noted, but a year later there was evident weakness of the whole of the muscles of the right side of the face, with loss of symmetry. In the former case the functional element was strong, but in both an ascending neuritis was probably present. _Tenth nerve._--The pneumogastric was implicated in many wounds of the neck. I never observed an uncomplicated case, but laryngeal paralysis was temporarily present in two of the cases of cervical aneurism in which the wound crossed above the level of origin of the recurrent laryngeal branch, while in two others the recurrent branch itself was in close contact with the wall of the aneurism (p. 135). In all such cases signs of concussion or contusion of the nerve would be expected, judging from the similar results observed in the brachial nerves when the neighbouring artery was implicated. The only obvious symptoms occurring, however, were laryngeal paralysis and acceleration of the pulse. As the latter symptom was often observed in the cases of arterio-venous communication, wherever situated, and as the sympathetic nerve also lay in close contiguity to the wound track, it was difficult to ascribe it with certainty solely to the vagus lesion. In the two cases of high vagus injury the laryngeal paralysis steadily improved, and at the end of six months was apparently well; in the two others it persisted at the end of three months and a year respectively. The nerve must have been very frequently damaged in wounds of the neck; it is possible that this injury may have been an important factor in the death of some of the patients with cervical wounds upon the field. _Eleventh nerve._--I append the only case of localised spinal accessory paralysis I observed. This was one of my earliest experiences, and when I examined the neck, in the Field hospital, I assumed from the completeness of the sterno-mastoid and trapezius paralysis that the nerve was severed. The patient, however, made such a rapid recovery that it became evident that the nerve had been contused only, and that the recovery of function was not due, as is so often the case, to vicarious compensation by the cervical supply to the muscles.