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forward. Diplopia lasted on and off for two weeks, (two days on
and then a day or so free). On the whole, the chief difficulty later
on was her back, which she could not bear to be touched, and
could not lie down. When she could lie down, she had great
difficulty in getting up again as her neck and back seemed so stiff.
Had a good deal of constipation for two weeks. No sickness. Felt
very faint when she began to sit up and very weak. As she put it
she felt "really ill" for a week. Two months later there was no
Parkinsonism, but the patient still felt shaky.
Case No. 73.
F. 22. Onset? 1/4/26.
This patient met with an accident on the 19th December,
1925, crushing her finger at a factory. The finger was amputated
the same day at the West London Hospital where she attended
daily until 19th January. The hand by this time was getting
septic—profuse discharge—the patient being very ill. Three incisions
were made one in the stump of the finger, and two in the
back of the hand. Owing to her condition, in order
to avoid the daily journey to the West London Hospital, she was
admitted to the Hounslow Hospital and was in bed for three weeks.
The condition cleared up and she came home and attended daily.
The mother at this time noticed a difference in the daughter who
complained of bad headaches, and irritating cough. She became
very languid, lying about, and had no energy. She was treated by
the doctor for the general condition.
On 1/4/26, she was very languid and off her food.
4th April.—Went out for a walk. Came home very tired.
Seemed worse. Still complained of headache. Vomited later in
the day. The headache got much worse all that night.
5th April.—Head worse. Not so very drowsy.