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not any other neurological manifestation, which might reasonably
be mistaken for it. As a result, Dr. Salisbury Mac Nalty, the
Milroy and Chadwick Trust Lecturer on Encephalitis Lethargica
and Dr. Parsons of the Ministry of Health, both came down and saw
the last batch of cases. With one exception the diagnosis was confirmed.
So important do I consider it to establish the diagnosis
and to place on record our findings that I append a summary of
the symptoms of each case together with short clinical notes of such
cases as I could get them from. In most of the cases I am indebted
to the Doctor in attendance for clinical notes, which are supplemented
by my own as the result of later visits. The end results
I have confirmed by personal visiting and recording the results in
most cases. I wish particularly to emphasize the value of Dr.
Darke's notes which are bedside notes, supplemented by after recovery
notes. Dr. Darke is the practitioner above referred to-whose
diagnosis had to be vindicated.
These cases demonstrate the fact that Encephalitis Lethargica
is not the fatal disease it is generally supposed to be, in our series
of 77 cases, the deaths number 6, giving a mortality rate of 7.8 per
cent.
Of the 77 notified as far as records are available 14 died.
Of these 14 deaths,
6 were certified as due to Encephalitis Lethargica.
1 was certified as due to E. L. 12 days. Erysipelas
12 days.
*2 were certified as due to E. L. but really died of Tubercular
Meningitis.
1 was certified as due to Acute E. L. 2 days. Old
[Tuberculous hip since infancy.
2 were certified as due to Carcinoma of Liver.
1 was certified as due to disseminated Sclerosis 9 years.
*1 was certified as due to Miliary Tuberculous Meningitis.
* Three Brothers.