This is a curious and rare disease of which we have as yet only a few reports in the literature, most of which have been from this country. The first report appears to have been that of Westphal1 in 1885. Cousot reports five cases, Goldflam2 nineteen and Taylor eleven cases. Taylor,3 in his exhaustive paper published in 1898, collected at that time fifty-three cases. Since then a few other cases have been reported, three by J. K. Mitchell, Flexner and Edsall.4 Last year Gardner5 reported a single isolated case which he studied in an interesting way. Dr. L. Pierce Clark6 last year reported a new subtype of this palsy. The most important and extensive observations, however, have been made by Dr. G. E. Holtzapple,7 a general practitioner of York, Pa., and despite the subsequent reports, Holtzapple's paper still constitutes the most important