AMAarchives of neurology & psychiatry . not acutely ill. Thr chest and cardiovascular system were Fig. 5.—Vessel showing reduplication of the endothelial lining. \ery closeto the vessel there is a collection of glial elements and a few gitter cells. The abdomen showed practically no abnormal findings. The extremities werenormal. The abdominal reflexes were absent, the deep reflexes equal andhyperactive. There was no Babinski sign and no clonus. There were leukor-rheal discharge, a lacerated cervix and pelvic exudate on the right. The bloodcount was normal, and the blood pressure was:
AMAarchives of neurology & psychiatry . not acutely ill. Thr chest and cardiovascular system were Fig. 5.—Vessel showing reduplication of the endothelial lining. \ery closeto the vessel there is a collection of glial elements and a few gitter cells. The abdomen showed practically no abnormal findings. The extremities werenormal. The abdominal reflexes were absent, the deep reflexes equal andhyperactive. There was no Babinski sign and no clonus. There were leukor-rheal discharge, a lacerated cervix and pelvic exudate on the right. The bloodcount was normal, and the blood pressure was: systolic. 120: diastolic. 80. TheEwald test showed absence of free hydrochloric acid. Course of Illness.—The patient was sent home, improved, and readmittedfive davs later, October 11. Persistent vomiting had recurred with severe GLOBUS-STRAUSS—EPIDEMIC EXCBPHALITIS 131 continuous sticking pains in both thighs. Weakness in both lower extremitieswas so marked that she could not stand without assistance. Physical Examination on Readmission.—Examination revealed: paresis ofboth lower extremities,
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