W. J., a man aged 30 years, married, and a carter by trade, was admitted 2nd Feb., 1877. He was of small spare frame, and bilious temperament. He had ptosis of the left eyelid, and the pupil of the same eye was contracted and immobile; no other paralysis was observable. Mentally, he was in an extremely excited state, restless and noisy, shouting, weeping, fighting, tearing clothes, and breaking windows, and his conversation was disconnected and meaningless. He went on, with little change, till the 3rd of April, on the evening of which day he was observed to be paralysed, and unable to stand. On examination the right arm and leg were found to be quite powerless, distortion of the face was not marked, but he was scarcely able to swallow. He soon fell into a lethargic, but not comatose condition, in which he remained with but little change, till he died on the 6th of April.
Email your librarian or administrator to recommend adding this journal to your organisation's collection.