AMAarchives of neurology & psychiatry . ssion. Ectopic gestation was suspected and a laparotomy performed. Abicornate uterus and evidence of early pregnancy in one horn were followed. After discharge from the hospital, the patients conditionremained below par. She complained of frequent headaches and blurred visionfor four months preceding the onset of acute symptoms. Two weeks before 128 iRciiiriis or xinROLOcy A admission she suffered from coryza and cough but remained up and about for afew days, when she had a slight cliill, followed 1)y a rise of temperature
AMAarchives of neurology & psychiatry . ssion. Ectopic gestation was suspected and a laparotomy performed. Abicornate uterus and evidence of early pregnancy in one horn were followed. After discharge from the hospital, the patients conditionremained below par. She complained of frequent headaches and blurred visionfor four months preceding the onset of acute symptoms. Two weeks before 128 iRciiiriis or xinROLOcy A admission she suffered from coryza and cough but remained up and about for afew days, when she had a slight cliill, followed 1)y a rise of temperature. Shewas put to bed, and soon showed improvement; two days later she developedhigh temperature, cough, severe headache, and signs of pneumonia in the leftlung. Attacks of vomiting followed, accompanied Ijy delirium and retention ofurine. She became somnolent the day before admission. Physical Exaimiiation.—The patient when admitted was comatose and rest-less. There were no ocular palsies; the pupils were dilated, the left more than. Fig. 3.—Vessel showing the marked increase in adventitia, giving rise toa fibrous scar. the right; neither reacted to light. The eyes rolled from side to side. Therewas no asymmetry of the face or rigidity of the neck. The heart was normal;the lungs showed pneumonic signs in l)oth lower lobes. The abdomen wasnormal. The extremities showed no paralysis and no Kernig or Brudzinskisign, I)ut a slight ankle clonus, and a bilateral Babinski sign. Theblood picture was negative. The urine was normal, except for a faint trace ofalbumin. The temperature, from the day of admission to the day of death, rosegradually from 99 to F. The spinal fluid was clear, under normal pres-sure, with 80 lymphocytes per cubic millimeter. CLOBrS-STRAiSS—EPIDEMIC EXCEPHALITIS 129 Course of Illness.—On the day after admission the patient remained comatose;there was no definite ocular palsy but a limitation of eye movements to theextreme right and left.
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