C. W. was admitted to the Royal Edinburgh Asylum on 12th March, 1879, being then 18 years of age. The most prominent mental symptom was a considerable degree of enfeeblement. He had a silly imbecile expression of face, showed marked confusion of ideas in conversation, and there was great defect of memory—for example he could not tell the day of the week. No delusions were expressed, and there was no excitement, no depression, and likewise no exaltation except that the feeling of bieu être was well marked. Physically, the boy was fairly nourished, stout but flabby; but he was undersized, and looked younger than his real age. There were very distinct motor symptoms; the articulation was defective, slurred, and tremulous; there were marked tremors of the tongue and lips; the pupils were much dilated, irregular in outline, and very sluggish in their action under light; and there was general weakness of motility, with slowness and unsteadiness in walking. The features were blurred, and the facial expression, as already mentioned, was silly and vacant. It was stated that patient was wet and dirty in his habits. The temperature was 99·4; pulse 92, regular; and there was nothing to be specially noticed in the condition of the other organs.
Email your librarian or administrator to recommend adding this journal to your organisation's collection.