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? Peroneal Atrophy.

MALE patient, aged 36. Admitted on account of weakness below the knees, deafness, and impairment of vision. The deafness came on suddenly twelve years ago in the left ear, in the right ear eight years ago, and about this time also his vision began to fail, and his legs to become weak. Now the condition is one of complete deafness in both ears, restricted field of vision in each eye, with atrophic disks, and wasting of the peroneal and anterior tibial groups of muscles. The knee-jerks can just be obtained, and the thighs, although small, are voluminous compared with the legs. There is no affection of the upper limbs, and so far as can be ascertained no ansesthesia. There is nothing significant in his family history except that he says that a sister was deaf, and had bad sight and wasting of the upper limbs. The case is shown to elicit opinions as to whether it is a somewhat unusual one of peroneal atrophy, and as to the relation, if any, between the deafness and visual effect and the muscular wasting.