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Vienna, June 12, 1895
My dear Wilhelm,
Your kindheartedness is one of the reasons I love you. Initially, it seemed to me that you had broken off contact with me because of my remarks about the mechanism of the symptoms distant from the nose, and I did not deem this improbable. Now you surprise me with a discussion that takes those fantasies seriously!
As a reward I want to draw your attention to something more tangible. I have seen and treated here a Mrs. R., who has a one-sided facial spasm and in whose case, with the help of the rather simple-minded Dr. Hajek,1 I could almost demonstrate that the tic can be elicited and removed at only one spot of the nasal mucosa, namely, the entrance to Highmore's antrum. You would certainly have cured the woman. Perhaps I shall succeed in sending this intelligent and pleasant patient to you. Her husband knows you through the pianist Rosenthal.2 You probably will recall your own conjecture that the points of entry to the accessory nasal sinuses have special dignity. The woman presents a case of very intense headaches that have subsided, and she has always suffered from most severe menstrual symptoms. The mother has a diffuse facial tic that I gladly would attribute to irritation resulting from adenoid growth.
Otherwise I have not been successful in my attempts to send people to you in Berlin. A., whom I certainly would have prevailed upon to do so, is so free of headaches that no motive exists. Incidentally, she confessed to me that her headaches were neurasthenic ones. I really am a kind of Midas, though not a Midas of gold.
You are right in surmising that I am overflowing with new ideas, theoretical ones as well. My theories on defense have made an important advance of which I shall give you an account in a brief paper next time. Even the psychological construction behaves as if it would come together, which would give me immense pleasure. Naturally, I cannot yet say for certain. Reporting on it now would be like sending a six-mont