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78
ations. Said he felt himself a fraud. When seen had definite
Nystagmus, rather less in the upward direction.
Recovered.
Case No. 67.
M. 6. School. Onset 11/12/25.
This boy appeared at the Clinic on the 29th January, 192(i.
His illness started 3 weeks before Christmas. He came homo
feeling very drowsy and went to sleep directly. Complained of
great frontal headache for two or three days. No sickness.
There was a doubtful history of ptosis. He did not attend school
as he could not keep awake. He was more or less drowsy all the
holidays, but improved towards the end and went back to school.
He was only in school a week before the headache commenced again.
After that he became very drowsy again, sleeping at odd times, once
or twice going off to sleep in the middle of a meal. Speech was
slow. There was some weakness of the left side of the face. He
had got very irritable with the children. When seen again on the
12th February, he was much better; the headache had disappeared,
and he was less irritable. On the 12th March he had considerably
improved generally, was sleeping and eating well and not so irritable.
He still complained of headache.
On the 30th April the boy was much better on the whole, no
headache, no irritability. Had definite weakness and loss of tone
of muscles of whole of left side of face.
On the 28th May he was greatly improved, in the mother's
words was "Wonderful this last four weeks." The condition of the
left side of the face was much the same. There is a question as to
whether a part of this difference is not a congenital asymetry.