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75
Case No. 64.
F. 44. Housewife. Onset 11/12/25.
For about a week before calling in the doctor, patient had had
some soreness of the throat. She was first seen by the doctor on
15th January, 1926.
Was stated to have been ill since two weeks before Christmas—
headaches, weakness, depression with bad nights, nightmares. Sleepy
by day. Pain in the right side of the head (front, top and back),
and back of the right shoulder. Appetite had been poor, but
patient had been eating until this date. Some smarting on micturition.
Sight for near things had been worse for the last few
weeks. Could not do needlework. Bright lights in front of eyes.
Patient could cry easily. Pulse 77. Temp. 98.4. Heart, lungs
and abdomen normal. Slightly tender right iliac fossa. Knee
jerks slight. No A.C. Flexor plantar reflexes. Left abdominal
reflex not obtained. No nystagmus.
16th January—Had a better night. Head swimming a little.
Better. Headache still present. No abdominal pain.
17th January—Head very bad, very swimming. Smarting on
micturition.
21st January—Coarse nystagmus. Tired, lethargic. Said
she seemed to be floating in mid air. Euphoria.
In bed 1.2 weeks all but 2 days. Memory very bad indeed.
Headaches were very bad. Pains round stomach and back, almost
as bad as labour pains. Dr. had to be sefit for specially. Recurrent
attacks, not giddiness, but something seemed to come over
brain, just like a wave. For a few seconds seemed to lose power,
a sense of pressure on the brain. The attack leaves her quite prostrate
for a few minutes.