London's Pulse: Medical Officer of Health reports 1848-1972

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Tottenham 1925

[Report of the Medical Officer of Health for Tottenham]

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44
F. G.—Was an in-patient, West End Hospital for Nervous Diseases,
for 14 weeks ; is still very ill. Is always tired, but does not sleep a great
deal as she suffers from severe pains in head, which increase when gas is
lit and continue to be severe during night, preventing sleep. Walks
better than she stands, but tends to walk sideways. Drags legs. Often
falls backwards when standing. Memory good. No squint or diplopia
now, but says she can often see lights flashing before her eyes. No
mental symptoms. Pupils react to light, but not accommodation. No
Rhomberg sign. Speech slow. Happy, not depressed.
K. B.—Scarlet Fever followed by Encephalitis Lethargica, and that
by Enteric Fever. Treated for Encephalitis Lethargica at Evelina
Hospital, and transferred from there to Isolation Hospital, where
she contracted Enteric. Walks sideways, and gait slightly unsteady.
Falls if she turns quickly. Has lost confidence in herself. Mentally
no change, except that she is easily depressed. No untimely
sleepiness; sleeps well at night. Reflexes normal. Pupils react to light
and accommodation. Complains that at times L. hand and L. leg get
"fixed."
A. T. C.—Attending school. Resumed attendance 12 months after
attack. In good health, except for periodic (infrequent) violent attacks
of headache and night terrors and that he is somewhat nervous. Was
very ill at time of attack, apparently comatose. Was in-patient, Hampstead
Hospital. Mentally quite alert.
E. E.—Almost constant violent tremors of left upper extremity; no
paralysis. Walks well, but gait a little peculiar and tires easily.
Reflexes active. Speech very slow and scanning. Sleep varies, some
insomnia. Eyes frequently become fixed with a stare. Appetite good.
Mentality, etc., unimpaired. Is under National Hospital for Paralysis,
and is shortly going to Convalescent Home. (May, 1926.—Been in
Convalescent Home. Improved, but speech still affected, and tremors,
etc., occasionally present).
N. B.—Was in-patient, M.A.B., Hospital, June—-July, 1924,
for 7 weeks. Under private doctors since. Weakness of muscles
of back and neck present. Can only walk a few hundred yards and then
is fatigued; and when walking, is said to walk on toes'—sideways—and
to bend body forwards. Tends to run. Often falls forwards when
standing. No visual defects. Is occasionally depressed. Temper
uneven, but was so before illness . Memory good ; appetite good. Sleeps
well. Speech slow and slurring. Reflexes somewhat sluggish.