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Case No. 69.
F. 43. Nurse. Onset March, 1925.
The initial symtoms were intense headache—particularly in
back of head and neck, some stiffness of neck, marked photophobia,
and some diplopia, and severe and intractible insomnia.
Slight rise of temperature, occasionally up to 100, pulse rate not
slowed. All reflexes present, but somewhat exaggerated (this the
medical attendant thought to be normal for this patient, as she is
very neurotic). Some slight change of mentality—tending to
irritability. The most prominent and persistent symptoms
were the pain in the head and insomnia.
The patient subsequently had an attack characterised by persistent
pain in the back and headache, with some nervous symptoms
which looked very like a relapse, but in view of the patient's
neurotic temperament there was considerable difficulty in making an
accurate diagnosis. She was transferred to St. Thomas's Hospital
under Dr. Buzzard, when the conclusion was come to that the
symptoms were considered not to be due to encephalitis.
After leaving the Hospital the head ache and pain persisted,
and she was seen by another doctor. It was found that she had
multiple tumours in both breasts which were removed.
Subsequent history will be watched.
Case No. 70.
M. 14. School. Onset 19/2/26.
The symptoms given by the Medical Attendant were Lethargy
bi-lateral ptosis, 3rd nerve paralysis, squint, insomnia. Great toe
extensor reflex. Recovery apparently complete.