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141
mad." Also complained of pain in the side, but there was a
history of definite pleurisy in 1925. No cough. Kept at work all
through original illness, and had not complained of diplopia. Had
recently been in bed for a week, and was said to have had anaemia
very badly. This was due to great increase in menstrual periods
which had existed during the previous 18 months.
When seen later she was very trembly, with a rather twitchy
face, and was very emotional. Felt as if she could not control her
legs when walking and complained of getting fearfully depressed.
The symptoms seemed to be definitely worse, her facial expression
more or less fixed, also definite loss of memory. when seen on 21st
January, 1926.
Case No. 76.
M. 26. Packer in Soap Factory. Onset 11/10/25.
The illness commenced on the 11th October, 1925, with attacks
of laughing and crying. Patient was extremely irritable, with a
week's history of headache, the pain coming up from the back of the
neck. During this time his character apparently changed considerably.
Had a bad dream on 10th October, and woke up laughing.
Had 5 attacks in 20 minutes. On examination—no diplopia,
and no nystagmus. Complained of spots in the front of his
eyes. Central nervous system—nil, except knee jerks very brisk
and abdominal reflexes brisk. Appetite good.
12th October.—Complained that his sight was funny. There
was no blurring or diplopia. Said that "People walking away
appear to be running." Had terrible headache on reading, and had
to fight to prevent laughing. Temperature normal. Some
albuminuria.