At the general meeting of the British Medical Association, held at Belfast last autumn, I read a paper in the Psychological Section “On Insanity connected with Spasmodic Asthma.” In that paper I described some cases as appearing “to point to an occasional connection between Insanity and Spasmodic Asthma, the nature of which seems to be—if the term may be allowed —metastatic, or alternating.” I also stated that though I was aware Dr. Savage had had some cases of a similar nature, yet up to that date the subject had excited little attention, and no mention of it was to be found in English medical literature.