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101
Case No. 21.
F. 27. Midwife. Onset 23/3/24.
Had not been feeling well for some time. Previous to this
had not had a day's illness in her life with the exception of some
headache. The chief symptoms were diplopia and ptosis, with
difficulty in seeing, and a large number of black specks which lasted
for a week. She became very giddy, so much so that she was afraid
to cross the road. Felt very tired and went to sleep frequently
during the day. At first she could sleep at night but later could
not sleep. Went away for three weeks. Could not sleep whilst
away. Sleep became normal when she returned. At one period
she had difficulty in walking—the ground felt "as if she was walking
on air ". Diagnosis confirmed by specialist.
Complete recovery.
Case No. 22.
F. 23. Onset 14/3/24.
Initial symptoms—giddiness, vomiting, haziness of vision,
and general weakness. When first seen by a medical man was reported
as unable to sit up in bed. Unable to see things in places
(apparently 3 definite scotomata). Pupils slightly dilated but
equal and reacted to light. Other reflexes, abdominal epigastric,
plantar and knee jerks, equal active present and normal. Nothing
abnormal in chest or abdomen. Suffered from sleepiness during
the day and also during the night. Speech tailed off when patient
was talking. Was admitted to Hospital as a case of Encephalitis
Lethargica. Urine—acid, albumen present, no sugar. Pulse 60.
Temperature 97. A Lumbar puncture was reported on as follows—
4.5.24 Physical—Clear fluid. Chemical—Choride 0.819 per cent.;
Sugar, normal; Total protein 0.04 per cent. Microscopical—Cells
5 per cubic mm, occasional plasma cell, rest are lymphocytes.
Wasserman negative.
The patient was in Hospital for 6 months.