London's Pulse: Medical Officer of Health reports 1848-1972

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Deptford 1926

Annual report on the health of the Metropolitan Borough of Deptford

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35
developed. The following is a brief resume of the cases notified
in 1926:—
1. Female, 26 years. Two years ago the patient had an illness
thought to have been nervous breakdown but now believed to have
been Encephalitis Lethargica. Present illness the after effects. Drowsy,
and had partial loss of power in both arms. Is now back at work, the
only drawback being that arm movements are somewhat slow.
2. Male, 48 years. Complained of dizziness, sickness and headache.
Slight drowsiness, slow speech and slurring; felt 'pins and needles'
sensation in left arm and hand. Six months after had practically
recovered except that speech was thick and slow.
3. Female, 2 years 3 months. Child fell off bed and was unconscious
for several hours, suffering from concussion. Received treatment in
hospital where case was diagnosed. Spastic condition of left arm and
leg developed into partial paralysis. X-ray of skull shewed no fracture
present. Lumbar puncture negative. The child's condition at the
present time is still much the same.
4. Female, 25 years. Developed lassitude and severe headache.
Oscillation of eyeball and falling eyelid developed. Died.
5. Female, 5£ years. Took ill Christmas 1925; had a convulsion
and broncho-pneumonia 14 days later. Became a sleep walker. Squint
noticed in March 1926; became fidgety and dropped things. Treated
for Chorea and then improved. Was seen at Guy's Hospital where
diagnosis of Encephalitis Lethargica was made. Sleeplessness at night
recurred and she is now back in hospital for treatment.
6. Female, 65 years. Developed nervousness and pains in the
head; loss of appetite; great weakness: prostration. Died three
weeks later.
7. Female, 17 years. Became drowsy and irritable ; suffered from
squint, double vision and loss of sleep. She lost use of her limbs and,
on enquiry later, was still in hospital under supervision.
(Died January, 1927.)
8. Male, 24 years. In this case the diagnosis was not sustained.