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110
Borstal Institute as a doubtful case of cerebro spinal meningitis.
The next day the general appearance was much worse and in the
evening he became confused in speech. On the following day,
knee jerks were exaggerated, definite Babinski, and speech was
markedly confused. Temperature 102. Vomited once, containing
a little blood. He was removed to the local Hospital. On admission
to Hospital was unconscious for three days. He was unable
to drink, the food returning through his nose, and he was
unable to swallow except with considerable difficulty. Very lethargic.
Incontinuence of urine. General tremors but no paralysis.
Had to be nasal fed. Pulse volume irregular varying between
GO and 84. Convalescence rapid.
The after results in this case are interesting, in that the boy
underwent a marked change for the better both physically and
morally, according to the staff at Borstal, and later he was promoted
to the post of orderly, and became a keen albeit unsuccessful
athelete.
Case No. 37.
M. 17. Onset 8/9/24.
Twelve months previous to the commencement of his illness,
he had a cycle accident, when he collided with the tail part of a
waggon, as a result he was severely concussed and was left with an
upward squint in the Left eye, with the result that when the head
was held in a certain position there was definite diplopia.
Some time after the accident the boy had a very anxious
worrying time, owing to the fatal illness of his mother.
About April 1924, he was subject to attacks of having to catch
his breath, just as though he could not fill his lungs. This passed
off and the boy was apparently alright until two weeks before admission
to Hospital. He then complained of dizziness on more
than one occasion, and his father had to take him out with him on
account of this.