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

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Poplar 1935

[Report of the Medical Officer of Health for Poplar, Metropolitan Borough]

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87
Cases of Encephalitis Lethargica are kept under observation until
the acute stage has passed. Subsequently, periodical visits are made and
reports as to the condition of patients are forwarded to the London County
Council. From time to time reports as to cases admitted to the Encephalitis
Lethargica unit at the Northern Hospital are received from the
London County Council.
21 cases were investigated. The following is a summary of the
reports submitted:—

From Institutions(10).

Patient.Notified.Institution.Report.Remarks.
J. T. C.1930Poplar InstitutionSleeps well at night; drowsy during day. Slight tremor right arm and tongueDefinite encephalitis lethargica.
G. E. ..-Northern HospitalIntelligence quite good; not deteriorating, perhaps a little slow. Moderate generalised Parkinsonism. Oculogyric crises frequent but not very severe nowGenuine case.
E. F.1921Rampton State Institution, near RetfordSleepless night and day. Extremely restless. Much worse than when admitted. Violent, impulsive, depraved, unreasonable.Post-encephalitis lethargica.
B. F.—Northern HospitalOculogyric crises daily Generalised Parkinsonism. Severe oculogyric crises.Genuine P.E. L. Parkinsonism.
R. G.1929Claybury Mental HospitalVery dull and lethargic generally. Excessively slow in movement, at times unaccountably restless. Paresis of face, arms and legs. Impaired sensation generallyRegarded as a true case of Post Encephalitis lethargica.
G. J...1933Northern HospitalMarked rightsided hemiParkinsonismGenuine case of Post Encephalitic Parkinsonism.
R. L...-Northern HospitalSevere progressive Parkinsonism—most marked on left side. Oculogyric crises frequent. General condition poor and deterioratingGenuine case.
H. R.-Northern HospitalDrowsy during day. No definite paralysis— some general rigidity presentDefinite Encephalitis lethargica.
L. St. G.-Leavesden Mental HospitalGenerally unsatisfactory— emotional, untruthful, a sexual pervert.Genuine case.
R. S.-The Manor, EpsomMental age 8-9 years. Occasionally mischievous and unruly. No evidence of Parkinsonism or other nervous lesion? Encephalitis lethargica.