In the first volume of the ‘Asylum Journal,’ (p. 45 and p. 107) we translated a valuable memoir on this subject by Dr. Fischer, presenting a very complete account of the pathology of sanguineous tumours of the ear, and a critical inquiry respecting their cause. With the statements and opinions there made, Dr. Gudden mainly agrees. At the same time, he considers Dr. Fischer to have mis-interpreted several facts he noticed. He ignores the presumed existence of a special dyscrasia, pointing out, as we also did, in some notes on Dr. Fischer's paper, that these tumours of the ear are not restricted to the insane, and, furthermore, that they are produced even in those in perfect health.