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105
In September 1925, she was in the National Hospital, Queens
Square. Progress was steadily downhill. At the end of November
1925 she presented the following symptoms—great wasting, lethargy,
inability to open mouth apparently due to wasting of muscles
(not to spasm). Pupil reaction slow. Knee jerks rather exaggerated.
Tremor of lips. Total history down to the time of
death practically two years.
Case No. 23.
F. 75. Onset 30/4/24.
This patient's eyes had been going wrong for 1½ to 2 yearsleft
nearly blind. She complained of pain across the back and
shoulders, with headache starting at the back and going over vertex.
Also pains all over. No appetite, some sickness. Frequent attacks
of vertigo, with intense weakness. Definite diplopia. She passed
through a stage of the characteristic sleepiness. Weakness was the
most marked symptom. Legs were almost useless for three weeks.
She was so tired that she "could stand and go to sleep." Her
medical man reported "I have known her since I came to Hounslow—years
ago, and the change in her, mentally and bodily, brings
me to think that she is one of the most marked cases I have seen."
Not seen in consultation.
Recovered.
Case No. 24.
F. 38. Married. Notified 10/6/24.
The outstanding symptom was intense and increasing headache.
She was seen by a consultant and the diagnosis was confirmed.
Convalescence was protracted. Recovery almost complete
except for irritability, and loss of patience with small things which
previously did not affect her.