THE object of this paper is to draw attention to a group of cases which present the rare association of muscular atrophy with a slow relaxation of muscles after voluntary contraction. The muscular atrophy has a distribution which is peculiar and corresponds to none of the wellknown types of myopathy. The characteristic features of the condition are weakness of the facial muscles (myopathic face), atrophy of the sterno-mastoids, atrophy of the vasti of the thighs and dorsiflexors of the feet, and a slow relaxation of certain muscles after contraction. The more forcible the contraction, the slower the relaxation. We are aware that variations from the type have been described both in the distribution of the muscular atrophy and in the occurrence of the slow relaxation without atrophy, but considering the striking resemblances of our own cases, and those which we have collected from the literature, we think the type is worthy of recognition. NAME. This condition has been described under various names: Myotonia with muscular atrophy (Lannois). Muscular atrophy with the electrical reactions of Thomsen's disease (Lortat-Jacob et Thaon). Thomsen's disease with muscular atrophy (Nogues et Sirol). Atypical forms of Thomsen's disease (Pelz). Muscular-atrophy with slow relaxation of muscles (nachdauernde MuskeLkontractionen) (Kleist). Myotonia atrophica (Rossolirno and others). We have adopted that of " myotonia atrophica," first used by Eossolimo, because it serves shortly to describe the salient features, and because it is the name under which several authors have since described this condition.