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another two in the wards, being finally discharged from hospital on 20th June. On
enquiry in October it was found that she was still attending the hospital as an outpatient,
on account of pains in the head, giddiness at times and forgetfulness.
8. A boot repairer, aged 35 years, male, of 65, B-Street, was last at work
sometime in January. He. went into St. Leonard's Hospital on 24th February,
and was admitted on 15th April to St. Bartholomew's Hospital, where his case was
certified on the following day. Symptoms : lethargy, squint, loss of memory,
tremors of hands and legs and his voice hoarse; he was also stated to have had
fits at night. The patient left St. Bartholomew's about the middle of May, and has
since been in and out of St. Leonard's Hospital, said to be suffering from neuritis and
neurasthenia.
9. A schoolboy aged nine, of 21, P- Street, was taken ill on 15th April,
when sleeplessness, delirium and double vision were noted. He attended school up to
18th April. "He was subsequently taken to the Queen's Hospital out-patients'
department, where his case was certified on 30th April. In October the information
was that the boy was away in a convalescent home, and that he was apparently
quite well.
10. A schoolboy, aged 11½ years, of 15, W-Street, was last at school on
22nd February, on which date he was taken ill. He went to St. Bartholomew's
Hospital on 22nd March, where his case was certified on 12th April. Lethargy and
drooping of the upper eyelids were noticeable features in the case. In October the
patient seemed well, but his speech was halting. This had never been noticed prior
to his illness.
11. A milliner, aged 19, of 38, P— Street, was last at work on April 24th,
on which date she was taken with pains at the back of her neck. Three days later she
was feverish, her vision is said to have become blurred and indistinct, and muscular
tremors, twitchings and delirium were noted. She was admitted to St. Bartholomew's
Hospital on April 29th, and her case was certified the following day. Upon
enquiry in October it was learnt that the patient resumed her work towards the end
of July and had since been quite well.
12. A dressmaker, aged 25 years, of 55, T-Street, was certified on June 16th
from St. Leonard's Hospital, where she was admitted two days earlier. A brief history
of this patient indicates that she probably had an attack of encephalitis lethargica
in 1921 ; in May, 1923, she was again taken ill suddenly whilst at work ; the main
features of the case subsequently noted were : Nystagmus, weakness of hand grips,
especially the left, slow speech, but mental condition apparently normal; she shuffles
along in walking with her head bent forward, and her appearance is suggestive of
paralysis agitans, and she was very unsteady on her feet when her eyes were closed.
Upon enquiry in October her condition had not materially altered and she was then
in the Queen's Square Hospital.