A. T., aged six years, was admitted into Darenth Asylum, October 26th, 1882, with the following history:—The patient was born at full time, but his mother had a difficult labour and instruments were required. At birth, the head was misshapen, and about a month afterwards a lump the size of a walnut formed, which was tapped twice and a small quantity of fluid withdrawn. When two years old he was run over, and afterwards the lump increased in size; it was tapped several times, clear fluid being drawn off. After the accident he was insensible for six hours, and on consciousness being restored, he was found to have lost the use of his right arm, the use of which has never returned. Afterwards he had fits, which have continued ever since. When five years old he would stand on his head and laugh and dance. Lately he has been strange in his manner, sometimes being noisy and boisterous, at others morose and depressed. The mental deficiency for which he was admitted is supposed to be due to the use of instruments at his birth, and to his being run over.
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