Many writers speak of two forms of atrophy of the brain, and it is a convenient method of describing the disease. In the first, there is incomplete development, as is seen in microcephaly; in the second, there is loss of nervous elements which had previously been present. The case which I have to relate is an example of the second class. Various forms occur, but the most interesting is that in which there is atrophy of one side of the brain, usually the left, with coexistent atrophy of the limbs of the opposite side of the body. Now, though imbecility is not necessarily the result (vide cases quoted by Van der Kolk), yet examples of this disease are of fairly frequent occurrence in asylums for imbeciles.
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