Considering the amount of attention which has lately been given to cerebro-spinal meningitis, and the obscurity which still hangs over the disease, I think the following case, which occurred in the Asylum at Carlisle, in April, 1867, worthy of record. It was a sporadic case, but its accessories and accompaniments invest it with some of the interest of those epidemics of the disease which have lately occurred:—

T. C. had been a patient in the asylum for five years; he had laboured under melancholia with periodic exacerbations and suicidal tendencies. On the whole he enjoyed very fair bodily heath, except when he became somewhat weak at times from refusal of food. But he generally got over this in a few days. He had most obstinate and severe psoriasis over shoulders, arms, hands, and legs.