A Case of Alkalosis

scar tissue, although it must benoted that part of the fibrosis may be due to the X-rays. One case of group 2 is well worth noting from the literature. Simons8 reports a case of a youth, aged eighteen years, in whom a paraplegia developed suddenly, and laminectomy was performed. A large granulomatous mass was found. It was inoperable. X-radiation was given. The patient died three months later from heart-failure. At autopsy the tumour had disappeared, and only white milky connective tissue remained. The case which is reported here also illustrates the mechanism by which cord symptoms are produced, namely, by strangulation of the blood-supply, and notby infiltration. The case reported by Simons suggests that until some more radical means of treating Hodgkin's disease is discovered, it is justifiable in these unfortunate cases of extradural masses causing spinal compression to advise early laminectomy followed by deep X-ray therapy. It is, of course, only palliative, but the alternative is a slow, painful paralysis, terminating fatally, and scarcely relieved by morphia.