1788 THE ANATOMICAL SOCIETY OF GREAT BRITAIN AND IRELAND.

resolved to despatch a fresh expedition to the Gambia and toSenegambia to follow up the investigation. The new expe-dition will start next month and will consist of Dr. J. E.

Dutton, the Walter Myers Fellow in the Liverpool School ofTropical Medicine, and Dr. J. L. Todd of McGill University,Montreal, who has been working for some time in connexionwith the Liverpool school. Its principal object will be to in-vestigate the conditions under which the disease occurs inboth Europeans and natives and its distribution, and also toascertain how it is conveyed from man to man, whether bya biting insect or by other means. Sir Alfred L. Jones,K.C.M.G., the chairman of the school, will kindly provide for the passages of the members of the expedition.

THE ANATOMICAL SOCIETY OF GREAT BRITAINAND IRELAND.

THE committee of management of the Anatomical Societyof Great Britain and Ireland has decided to hold thesummer meeting at St. Bartholomew’s Hospital Medical

School, London, E. C., on Thursday and Friday, July 3rd and4th, commencing each day at 3 P. M., under the presidency ofMr. C. B. Lockwood. The annual dinner of the society isarranged for Thursday. July 3rd, at the Cafe Royal, Regent-street, W., to commence at 7.30 P.M. Communications shouldbe addressed to the honorary secretary, Dr. Peter Thompson,Middlesex Hospital, W.

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THE VALUE OF BENEDIKT’S SYNDROME INTHE LOCALISATION OF LESIONS OF

THE BRAIN.

SINCE Professor Benedikt of Vienna drew attention in 1889to a group of symptoms, subsequently known as "Benedikt’ssyndrome," which occurred in lesions of the upper half ofthe cerebral peduncle, little has been recorded of this condi-tion. Charcot, however, reported two cases in 1890 in

which this group of symptoms was present and where thepost-mortem findings confirmed the localisation of the lesiondiagnosed during life. The symptoms which constitute

Benedikt’s syndrome are briefly a partial paralysis of the

ocular muscles of one eye and a paresis of the opposite sideof the body. In an article in the Rezoe Neurologique ofMay 15th last Dr. Leon d’Astros and Dr. E. Hawthornhave published a case illustrating the symptoms and

diagnostic value of Benedikt’s syndrome very clearly. Thecase was that of a child, age(] 21 months, who was admittedto hospital in November, 1901, with oculo-motor paralysis ofthe right eye and paresis with involuntary movements of theleft upper and lower limbs. The right eye remained closedsometimes for hours and could not at any time be fullyopened. There were divergent strabismus and mydriasisof the pupil. There was also some spasmodic contracture ofthe left hand, including the thumb and fingers. The fore-arm remained in a state of semiflexion and pronation. The

most salient feature, however, consisted of oscillations andrhythmic movements of the forearm which varied in ampli-tude and rapidity, occurring when the patient was awake and- ceasing during sleep. The triceps tendon reflex was almost.absent. The left leg lay extended and immobile with the toessemi-flexed but the foot showed rhythmic movements ofextension of flexion. There was no Babinski symptom. The

knee-jerks were exaggerated on both sides. Some degree ofleft-sided facial paralysis was present. The patient was.ansemic and emaciated on admission and gradually grewworse and died on the nineteenth day. The necropsy showeda tuberculous tumour in the upper half of the cerebral

peduncle, situated mainly to the right of the middle line.n was embedded in nerve-tissue and came nowhere into.contact with the pia mater. Inferiorly it reached to withintwo millimetres of the upper border of the pons, and

superiorly it extended to the ependyma of the third ventricle

and involved the substantia nigra and subthalamic tissues. It

measured 17 millimetres vertically and 16 millimetres trans-versely. Dorsally it reached as far as the iter and impli-cated the oculo-motor nucleus but spared the corpora quad-rigemina. The clinical symptoms during life were so

characteristic that diagnosis was made of a tumour in theabove situation which the necropsy confirmed. A tumour insuch a situation is beyond the reach of surgical operation,but the writers have shown that Benedikt’s syndrome has adistinct diagnostic value. -

THE PREVALENCE OF SMALL-POX.

THE figures showing the number of patients admitted tothe hospitals of the Metropolitan Asylums Board for the pastweek are as follows :-On Saturday, June 14th, there were18 fresh cases ; on Sunday, the 15th, there were seven freshcases ; on Monday, the 16th, there were 12 fresh cases ;on Tuesday, the 17th, there were 20 fresh cases ; and on

Wednesday, the 18tb. there were eight fresh cases. In the

county of Essex for the week ending June 14th there werenotified 22 fresh cases, while throughout Scotland fromJune lst to June 15th there were notified 41 fresh cases.

THE BREAD-SUPPLY OF JOHANNESBURG..

’ IN May last the chairman and members of the PublicHealth Committee of Johannesburg instructed Dr. C. Porter,the medical officer of health of that town, to inquire and toreport in regard to the bread-supply and bakeries of Johannes-burg. The report cannot be considered satisfactory ; 85’7per cent. of the bread sold was found to be appreciably underweight. It was also found to be deficient in quality ; over65 per cent. of the samples contained alum, many had anexcess of acid, and others were sour and badly baked. The

bakehouses generally were in fairly good structural conditionand pretty well kept, but the ventilation of many was not

worthy of praise and it was suggested that an improvementcould be made by the adoption of louued roof ventilators.The shallow-well water-supply of certain bakehouses wasstated to be dangerous and a possible source of typhoid fever,and a recommendation was therefore made that every bake-house should be supplied with water from the main or froman artesian well. In those houses where this plan could notat once be adopted Dr. Porter proposed that the water

from the wells should be boiled and allowed to cool

before being used for making dough. The attention

of each baker in Johannesburg was ordered to be called

to the results of this examination and the secretary of thewater company was also communicated with. Now that

peace is assured in South Africa the civil authorities will be

able to supervise more closely the food- and water-supply,and doubtless the unsatisfactory state of affairs which

existed in Johannesburg previously to May will speedily beremedied.

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THE ANATOMY OF ANKYLOSTOMA DUODENALE.

IN the Records of the Egyptian Government School ofMedicine, published in 1901 under the authority of the

Egyptian Ministry of Public Instruction, Dr. A. Looss,professor of helminthology in the school, contributes anelaborate article on an important department of his specialsubject. This monograph, which fills 115 pages and isillustrated by 13 large plates containing 172 figures, is

headed, "The Sclerostomidae of Horses and Donkeys in

Egypt." Its chief medical interest lies in the openingportion which is devoted to some questions connected withankylostoma duodenale, a familiar designation which Dr.

Looss says is no longer retained in modern zoologicalnomenclature but is replaced by the name uncinaria

duodenalis." " It is generally conceded by those whoare familiar with ankylostomiasis that the parasites in