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Owing to the fact that the convulsions, as observed, seemed to begin on the right side, although paresis was confined to the left, it was deemed better to trephine the left side of the skull first, and then, if necessary, make a fissure of Rolando was indicated by marking the bone with a drill, and a large horseshoe flap turned down. Of especial importance is an apparently congenital form of athetosis, dating from the earliest infancy.