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The following case exhibits a remarkable sequence of cause and effect, even to a condition bordering on mental abberation, from the presence of a cartilaginous spur projecting from the septum nasi, and pressing against the contiguous turbinate. That the recovery was a direct result of the treatment instituted, is beyond a doubt for the following reasons:
1. The patient's illness had existed for over a year, and was at the time of his first visit to me distinctly worse than at any previous time.
2. He had just returned from a large watering place, where he had been for six weeks, and during that time he had not only received no benefit, but his symptoms had increased to such an extent that his return home became imperative.
3. His improvement after the removal of the growth was immediate and permanent, and he is at present enjoying robust health.
PORCHER WP. MENTAL WEAKNESS RESULTING FROM THE PRESENCE OF AN ENCHONDROMA OF THE SEPTUM NASI. Read by title before the Section of Laryngology and Otology, at the Fortieth Annual Meeting of the American Medical Association, June, 1889. JAMA. 1890;XIV(16):575–576. doi:10.1001/jama.1890.02410160019001g
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