A few months later the same patient was submitted a second time to the Society, on this occasion by M. Babinski,[69] who declared himself in disagreement with the hypothesis of M. Crouzon. In all cases of mental torticollis, so called, the contrary movement to that the execution of which is impelled by the spasm can from time to time be accomplished, whereas in the case under discussion downward as opposed to upward deviation was never obtained. Further, the acute onset, with loss of consciousness, militates strongly against the tic theory, and indicates rather a variety of paralysis of the inferior recti, or paralysis of conjugate downward movement, secondary to organic disease of the nervous system. The difficulty experienced by the patient in inducing his eyes to resume the horizontal position after once elevating them is explicable on the assumption that the action of the superior recti is no longer controlled by their antagonists the inferior recti, the former passing into a state of temporary spasm, which is, however, strictly consecutive to the paralysis of the latter. M. Parinaud expressed himself as being in accord with M. Babinski, and recalled certain rare forms of associated ocular palsies occurring with paralysis of convergence, a combination manifest in the subject in question. Curiously enough, in these cases the disturbance of function is always ushered in by a stroke, which justifies the belief in the focal nature of the lesion. On the other hand, it was noticed by M. Ballet that the range and facility of downward deviation varied inversely with the attention devoted to the patient by the examiner. On yet a third occasion this identical case provided a subject of discussion at the Society, after being under the observation of Professor Pierre Marie in Bicêtre.