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119
12/5/25—Patient was admitted to the Hospital for Chorea.
Condition on admission—T. 99.2. P. 100. R. 22. Choreic
movements of hands and face.
20th May—Patient is getting very dull and lethargic.
23rd May—Lumbar puncture performed, slightly tinged with
blood at first, subsequently running clear. Pressure normal.
25th May—Child's mother says child has had squint for year*.
It is not a recent symptom. Before admission she was ill at homo
for about three weeks, she was "light headed" and was rather
troublesome at home.
29th May—Seen by another practitioner.
18th June—Somewhat drowsy.
19th June—? Ery. Face. Developed definite Parkinsonian
movements of both hands. Drowsiness gradually increased.
Tongue very dirty. Nil throat. Knee jerks both very active as
also ankle jerks. No definite ankle clonus. Negative Babinski.
Abdominal reflexes normal. Nil—eyes. No myoclonus. Case
appears to be one of the Parkinsonian type of Encephalitis.
20th June—Appears brighter. Has developed regular clonic
twitching of both big toes.
21st June—Increased twitching of arms and legs.
22nd June—Drowsiness again increasing.
24th June—Parkinsonian gait now appears to be progressive.
Not so drowsy. Temperature normal. Face much better. Still
has clonic twitchings.
27th July—I.S.Q.
6th August—Still in bed, much better again.
28th August—Up again. Still tends to have Parkinsonian
gait.
6th September—Not quite so well to-day.
18th September—Better again. Getting up. Being recommended
for Convalescent home.