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94
Chief symptoms—extreme languor, no appetite, drowsy during
day. Sleeps badly at night. No headache or pain. No sickness,
apparently no eye symptoms. Bowels regular. No bladder symptoms.
Very terrifying dreams.
15/5/24—Had been in bed since 11/5/24, getting up once to
go to the National Hospital, Queens Square, but returned to bed.
Felt better in bed, but least effort tired her. Was fully examined
at Hospital.
The mother stated that the girl seemed different, and looked
changed, but could not be more explicit. She attributed the illness
to the girl worrying over trouble at the Laundry—articles were
missing, and everybody was more or less under suspicion in her
department. The Medical Attendant stated that there had been no
ptosis and no diplopia since he saw her. The diagnosis was confirmed
at the National Hospital
The patient got rid of the dreams and went back to work
packing and sorting, but used to lie down in the middle of the day
at work. Later her right arm began to get weak, and on September
24th 1925 she was unable to tie up parcels with string. By
November 1925 the arm was so weak that she had to be washed.
There was subsequently some improvement until April, 1926, when
she got much worse and everything had to be done for her. She
has become very slow in her movements and very shaky; has no
drowsiness now, but her face is completely masklike. The patient
no longer has the terrifying dreams which were such a marked
feature; sleeps well at night, but wakes up with bad headaches.
She now suffers from vertigo when looking down, and complains
that if she looks up her eyes seem to get fixed.
This is a marked case of Parkinsonian after effects.
Case No. 12.
F. 21. Housewife. Onset 1/5/24.
This patient has just been confined in a small Private
Maternity Home. The Medical Attendant's notes are as follows:-