s. E. Henschen 



During the course of the illness no more severe cramp or contrac- 

 tions have occurred nor disorders of the bladder or rectum nor decubitus. 

 There were no psychical or special se-nse disorders, speech has- 

 not been influenced, no cranial or trunk disorders have been observed. 

 In the beginning of February the patient had epileptic fits three day& 

 in succession, and during the following time, before entrance two or 

 three attacks now and then occurred. 



Entered the hospital april 12'" 1883. 



Present Condition april 20"' 1883. 



The patient is in bed; is fairly thin and has lax muscles, espe- 

 cially those of the lower-legs. 



The skin of the arms is somewhat darker than usual, rather rough, 

 and dry but of ordinary elasticity; on the legs there are here and there 

 indistinct dark spots. The lower-legs and feet are paler than usuaL 

 The pulse is i-egular and normal, the beat is 74. Temperature is normaL 



Subjective Symptovns. 

 - The patient often has slight headaches evenly distributed over the 

 forehead and the crown. When she tries to grasp an object she experi- 

 ences a feeling of sharpness in the finger tips. She also, complains of an al- 

 most continual, though slight, ache in the popliteal space especially in the- 

 right one; now and then a slight ache in the knee and foot-joints occurs- 

 and occasionally she feels a tingling pain in the lower-leg and down ta 

 the toe-tips. The patient also complains of weakness in the arms and 

 hands, and stiffness in the fingers. 



She can now feed herself but cannot cut her food. In both lower- 

 legs and feet she is lame and the latter she cannot voluntarily move; 

 she can neither stand nor walk, not even by supporting herself against 

 the bed. After food she has pain in the pit of the stomach, flatulence 

 and stomach ache. No acid eructations from the stomach nor vomiting. 



The inclination for food and sleep is good. 



Objective examination. 



Intelligence is free; no speech or special sense disorders are per- 

 ceptible. 



Sensibility. 



Tactile sensation is considerably impaired in the hands and fore-arms, 

 so that the patient does not at all feel a slight touch. Without the help^ 

 of sight she cannot decide with her finger-tips whether an object be- 



