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91
of the O. D's., amounting to slight atrophy in the right eye in my
opinion."
On one occassion whilst gardening on Easter Monday had a
temporary diplopia. About 23/4/24 had an attack of yawning,
drowsiness and feeling of tenderness lasting four days. Has been
feeling weak all the time, but this was exceptional tiredness. No
headaches until last two days.
The Medical attendant's notes are as follows:—
23rd April—complains of giddiness for a fortnight. No.
vomiting- No diarrhœa—nystagmus, more marked on looking to
the right. 25th April—saw Mr. Loosely, Eye specialist—Optic
atrophy found—says nystagmus is marked. Query cerebellar
tumour. 28th April—pulse 72. Temperature 97.8. Complains of
feeling sleepy yesterday—yawning the last two days. Saw double
three days ago. Still nystagmus.
30th April—Not sleepy. Slight albumin and no sugar in
urine. Knee jerks and ankle jerks normal. No ankle clonus.
Plantar reflexes not obtained. Optic discs very pale.
2nd May—Syringed both ears clear of wax.
6th May—Sent to Queen's Square Hospital—LethargicEncephalitis
diagnosed.
7th May—Patient has been working up till now, but ceased
working to-day. Pulse 72. Feels alright. Eating and sleeping
well. Has never had pain in the back or head-ache.
10th May—Giddiness on moving quickly. A bit wobbly after
walking a few hundred yards. No vomiting. Pain in epigastrium
and also chest last night. No sleepiness. No more diplopia.
Headache yesterday. Pulse 76. Still nystagmus. Feels giddy if
he looks to the right when out walking. ,
15th May—About the same.