View report page

97
irritable. Depressed, sort of crushed feeling for about a fortnight
Eye movements normal. She says a blur comes over her eyes
as she moves them. Pupils look normal. Pulse 72. Right upper
eyelid droops. She could not find her nose with either forefinger
when her eyes were closed. Pronounced knee jerks. No ankle
clonus. Flexor plantar reflexes.
17th May—She cannot do her charts—cannot read the thermometer.
She nearly upset the dinner. Left forefinger aches as
well as all up the outer side of the forearm. Something seems to
pass in front of her eye on the right side from time to time. Has to
hesitate before going upstairs—she has to make up her mind and
go and do it quickly. She knocked her head last night. She had
a sick feeling and had to " grunt," once to-day. Feels better.
Slept last night. On leaning forward to pick up water jug she
felt giddy and had a buzzing in her ears as she got up.
18th May—Alright to-day until 11a.m., then strange feeling
that she was going to drop—lost all power. She seemed as if she
must put her head on one side and fall over—her head feels like a
weight—her hands were trembling. Can see clearer on the right
side of her to-day. In to-day's attack she felt as if she were going
to faint. She felt she wanted to shout. She feels more sick
to-day. No feeling of pressure at the root of the nose to-day.
Could go upstairs only after a rest. Things are blurred and
shadowy. Her urine stains her clothes yellow. When told to find
her nose with her forefinger, she put it half way up the nose with
her left hand and at the root of the nose with her right hand. Has
occasional twitchings of hands and legs—feels she must drop
things. Has trembling feeling in the stomach. Slept well last
night. Feels she would do anything to go to sleep in the day time.
Pupils still small. Ptosis of right upper eyelid still.
Not seen in consultation.
Recovery in this case was very slow and the patient still finds
her memory seriously at fault.