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

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Heston and Isleworth 1925

[Report of the Medical Officer of Health for Heston and Isleworth]

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106
Case No. 25.
F. 15. Domestic Servant. Onset 14/6/24.
Whilst doing her hair on the 4/6/24 she had an attack of
giddiness accompanied by head ache. Had to sit down and was
unable to go to work. During the day could not .stand or walk.
Had no sickness, diarrhoea, or sore throat. Constipated. Definitely
complained of diplopia, and things looking black.
5/5/24—Was.still giddy, could not walk, head ached.
6/5/24—Slightly better but still in bed.
7/5/24—Was got up but could not stand. Right foot gave
way and she lost the use of it. Still complained of headache. No
diplopia. The doctor was not called in until the 9th. No history
of drowsiness. Could not sleep on the 4th, 5th, 6th and 7th.
When seen by the doctor he reported that the vision had cleared to
some extent and there was only a trace of haziness left. The
"white edging" which she had complained of seeing in things had
cleared up. Pupils dilated equal and reacted to light. Knee jerks
present, equal and increased. Plantar reflexes present, equal active
and flexor. No ankle clonus. Abdominal and epigastric reflexes
normal. Abdomen and chest—nil. There was some night wakefulness.
Was drowsy during the day on the 12th. This was not a
very marked feature. There was considerable weakness, in addition
to which she had a septic condition of the fingers and was sent to
the Infirmary, and made a complete recovery.
Case No. 26.
M. 18. Onset 10/6/24.
The attack commenced with headache followed by giddiness a
quarter of an hour later. No nausea. He fell off a ladder up
against a wall, and was sent home. He felt alright in two days
and went back to work, but two weeks later the giddiness began
again, and he then had to sit down, as he was dizzy when standing
up. No sickness, no sore throat. Complained that his legs felt