72 
(So. 39) that the pain in the epigastrium increased on palpation; in 
2 cases (Nos. 33, 3d) the pains were frecpjent. 
Diarrhea, 3 cases (Nos. 49. 94. 95). In one case (No. 49) the diarrhea 
was lienteric in nature and of long standing, and in a second case 
(No. 95) it had persisted continualD for two years. 
Diarrhea alternating with constipation, 2 cases (Nos. 33, 34). 
Severe intestinal troubles, 1 case (No. 32). 
Nervous symptoms were noted in 15 cases (Nos. T, 8, 33. 34, 36, 38, 
39, 41, 42, 43, 44, 49. 81, 94, 95). In 11 of these cases convulsions or 
spasms occurred. 
Epileptiform convulsions. 7 cases (Nos. 7. 8, 33, 34, 36, 38, 39). Of 
these, 3 were reported cured after treatment, while in the others the 
symptoms disappeared for some time after treatment but later 
recurred, and in 2 (Nos. 33, 34) of these latter there was no corre- 
sponding reappearance of eggs in the feces when the symptoms 
recurred after having ceased for several months. 
Choreic convulsions, 1 case (No. 42). 
Clonic spasms of extremities, 2 cases (Nos. 41, 43). 
Nodding spasm of head, 1 case (No. 49). This symptom was 
improved but not cured after the expulsion of II. nana. 
Diffuse tremor of frequent occurrence, 1 case (No. 38). 
Paralvsis or paresis was seen a number of times. 
Weakness of right side of bod}% 2 cases (Nos. 41, 43). 
Distortion of mouth, 2 cases (Nos. 41, 43). 
Strabismus and diplopia, 6 cases (Nos. 39, 40, 41, 42, 43, 49). In 1 
of these cases (No. 41) the strabismus was not cured and showed only 
very slight signs of improvement after anthelmintic treatment. 
Difficult speech, 3 cases (Nos. 41, 42, 43). 
A number of other so-called reffex SAmiptoms Avere encountered. 
A^ertigo, 1 case (No. 44). 
Headache, 5 cases (Nos. 39, 41, 43, 44, 49). 
Nasal pruritus, 1 case (No. 49). 
Numbness in lumbar region, 1 case (No. 44). 
Diminished vision, 1 case (No. 42). 
Mental SAmiptoms, 5 cases. Two cases (Nos. 38, 43) were melancholy, 
taciturn, stupid; in 2 others (Nos. 7, 8) there were melancholia, indo- 
lence, and weakening of the mental faculties; 1 case (No. 49) was drowsy. 
Respiratoiy disorders, 4 cases. Dyspnea occurred in 2 cases (Nos. 
37, 48), in one of which it had been continual during two years, and 
was cured immediately after the expulsion of II. nana; in 1 case (No. 
38), a scrofulous subject, there was a rough, diffuse, vesicular murmur 
of the lungs, whether cured after anthelmintic treatment is not stated; 
and in 1 case (No. 41) there Avas an occasional dry spasmodic cough. 
Nocturnal enuresis, 1 case (No. 81). 
Cardiac palpitation, 1 case (No. 39). 
