Observations of temperature in patients with progressive paralysis began by me from the beginning of 1901. In the course of almost three years, only about 40 cases have been investigated, but for more or less a long time, continuously, systematically, daily in the morning and in the evening, it was possible to conduct research in 25 cases. Out of them, for the following presentation, I choose only those cases, in the number 24, which belong to the purest forms of progressive paralysis, so to speak with the classic course, avoiding various mixed forms. Diagnosis in each individual case was established after more or less prolonged observation in the hospital, under the direct guidance of the deeply respected Professor N.M. Popov.

Any researcher on the question of the innervation of the movements of the iris is involuntarily amazed, on the one hand, by the amazing abundance of works on this branch of physiology and, at the same time, solid works, produced by outstanding scientists, and on the other, not less than the amazing diversity of the prevailing views, even prevailing in the foundations of the study of pupillary movements. The last ten years of the past century have been the period of especially lively debates in literature on the most significant issues of this department and, it seems, will not be exaggerated, if we say that not one side of the question about the innervations of the movements of the pupil has not been left again. But from the review of these numerous works, it is difficult to come to no less than a definite, immutable conclusion on any issue.

28 / VII. The patient died at 6.30 am. Opening 28 / VII. Great emaciation; stiffness is poorly expressed; on the sacrum and on the right trochanter — bedsores. The bones of the cranial vault are thickened, diplöe is almost absent. Dura mater is spliced ​​in some places with the inner surface of the vault and with the pia mater. The last one is thickened, cloudy (milky stripes), it is removed from the surface of the brain with great difficulty. Brain weight 1397.0; its substance is edematous; the cortical substance is anemic, atrophied; the lateral ventricles are dilated with a large amount of serous fluid. In the internal organs, except for the expansion of the lower lobes of both lungs, no pathological changes were noted.

There are several contradictory indications about the blood filling of the brain. A. priori, indeed, one can expect bloodlessness of all organs due to rapid blood loss, “but many facts make such an expectation premature, unproven, unproven,” notes Yu. Chudnovsky and cites the case of prof. Maschka.

All active movements of our members in individual joints, with a few exceptions, are carried out easily and freely in the limits determined by the architecture of a particular joint and the function of those in charge of certain movements of the neuromuscular apparatus. Ease and freedom of movement in the known articulation is achieved and improved by exercise in this movement; lightness and freedom of movement becomes perfect from the moment the well-known movement becomes familiar; then the movement becomes automatic, requiring no or almost no consciousness for its manifestation.

The author, being an adherent of spinal localization of painful process in acroparesis, gives a case of pronounced acroparesis with a strictly limited area of distribution of sensitive disorders.

The authors cite a case of a fracture of the spinous process of the twelfth dorsal vertebra, in which spasmodic paralysis was observed for more than 7 months with the nature of Brown-Séquard paralysis, accompanied by clonic phenomena, Babinsk's symptoms of urinary bladder and collapse.

The authors, fully adhering to Risk's view of acroparesis as affecting the known segments of the spinal cord, cite cases where it was possible, with an objective examination, to ascertain certain areas with a decrease in sensitivity.

The authors describe a case where a patient suffering from syphilis and tabes had complete ophthalmoplegia and atrophy n during his lifetime. optici on the left eye, incomplete ptosis and paralysis of the upper part of the right eye.

The author undertook observation of the action of Veronal in the Dalldorf hospital, near Berlin, for paralytics, among whom there were many restless and suffering from sleep disorders. Before that, in cases of insomnia, they came to the trional in hospitals and only when some patients did not succumb to his influence (which happens with any hypnoticum), they had to use other hypnotics. Since, with prolonged use of trional, its action weakens, and it tastes bitter, then, naturally, the ever-present desire of doctors was to find such a remedy that would be devoid of these negative qualities, and most importantly, would not have strong toxic properties.

Academician Bekhterev notes that there, where, with paralysis, the use of active gymnastics is impossible due to the weakening of volitional impulses that cannot bring the affected members into motion, it turns out to be possible to use it in the water, and the organs, without them being active before and having limited mobility, they reveal it to a greater extent.

The author cites the following clinical observation: Left hemiplegia developed in 8-10 hours without loss of consciousness. During the work, the subject of 65 years felt a feeling in his left hand without pain and without loss of consciousness, the left leg was almost completely paralyzed. At night, terrible pains in the legs, the limb itself in flexion contracture, the left hand in the state of lax paralysis.

The author has in mind to prove the inaccuracy of the observations and conclusions of prof. Strauss in his work is about inside arterial pressure.

It was chaired by prof. P. I. Kovalevskiy, under the secretary V. N. Obraztsov. Attended by: comrade-chairman prof. N. A. Mislavskiy, members: Skuridin, Levchatkats, Sorokovikov, Skolozubov, Pavlenko, Pervushin, Zaitsev, Tonorkov, outside doctors and people of 30-40 public.