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condition for 4 days when he was seen by the Consulting Physician,
the condition finally being diagnosed as Encephalitis.
The patient on admission to Hospital was unconscious, this
condition lasting three days. Incontinence of urine and offensive
discharge from the mouth—jerking movements of limbs—unable
to swallow and had to be nasal fed. Definite diplopia. Eight sido
of face drawn up. Pulse irregular in volume varying from 60 to
72. He was unable to feed himself for several weeks.
The marked feature in this case was that during his convalescent
period his language became very bad, and he was found
writing filthy letters to his school chums.
He left the Hospital, but still had diplopia and had great difficulty
in swallowing, having to take water copiously and frequently
but was seized with a violent attack of coughing, and had great
difficulty in regaining his breath afterwards.
Electrical treatment was carried on for some time with considerable
benefit to the eye.
At the present time he still has trouble in swallowing in a
somewhat lesser degree. He has to turn his head a half turn
apparently to force the food down.
He still has to drink water abundantly with his meals.
The coughing and catching of breath is not so frequent although
these attacks sometimes occur just after meals.
Apparently there are no moral after effects.
The boy is doing well in a scientific career.
Has developed normally physically and grown 10 inches in
two years.
Case No. 38.
M. 8/12. Onset 15/9/24.
Brother of cases Nos. 30 and 35.
The Initial symptoms were vomiting and drowsiness. This
child was admitted, as a case of Encephalitis Lethargica, into Guy's