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An indication of what can be accomplished marked hypertension in this boy has been SURGICAL TRKATMKNT FOR CARDIO-VASCULAR MALFORMATIONS ample reward for the exhausting efforts which were required of the surgical team during the operation for removal of his aortic obstruction (antabuse pills n potion). But there certainly appear to me grounds for believing that, at least in some cases, both of local spasm and of epilepsy commencing witl) spasm, a closer attention to tlie mode of commencement and increase of the convulsive movements, as well as the consideration of the degree of liability of the particular part to spasm from internal causes, will aid in determining whether the cause is to be sought there, and relief attempted by the removal of a possible cause of irri tettion seated m or near the affected In most cases of epilepsy the history will much aid the diagnosis of the cause, connecting the disease, perhaps, in its origin and course, with a special irritation. In the of this kind, about seven inches in diameter, whiili was sent to the mnseum witli the history, that, in removing it from the deep tissues of the tumour, consisting of numerous round masses of pale, semi-transparent, ghstening cartilage, connected by then' several fibrocellular investments; and its exterior is deeplj- lobed and nodulated. 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