73 
Shivering, grinding of teeth, biting of lips, 1 case (No. 49). 
Pupils unequal, but reacting to light, 1 case (No. 42). 
Fever, 3 cases. In 1 case (No. 49) there was said to be some fever; 
in 2 cases (No. 94, 95) the fever was irregular and intermittent, in 1 
of which it appeared at intervals for two years. 
Restless sleep, 1 case (No. 94). 
Somnambulism, 1 case (No. 38). 
Occasional remark is made as to the general appearance; usually 
the nutrition does not seem to be much alfected. 
Emaciation, 1 case (No. 49). 
Paleness, 4 cases (No. 39, 42, 43, 49). 
Weak, delicate, scrofulous, 1 case (No. 38). 
With regard to the phenomena exhibited by the remaining cases in 
which s}miptoms were noticed, there is no way of demonstrating 
whether the presence of ffymenolej>is nana was aindhing more than 
an attendant circumstance, indeed, in man}- of the cases it is quite 
apparent that there could have been no causal relation between the 
presence of the tapeworm and the S3miptoms, while in others, in which 
such a connection seems more or less probable, the evidence is too 
incomplete to warrant such an assumption, and in a number of these 
latter it is furthermore questionable whether the other parasites pres- 
ent might not be of equal or greater importance in the etiology of 
S3"mptoms. Following is a list of svmptoms, with their frequenc3^, 
taken from all the reports of cases in which s3miptoms were noted, 
without regard to questions of etiolog3": 
Disorders of the digestive S3^stem occurred in 28 cases. 
Diarrhea, 9 cases. 
Diarrhea, alternating with constipation, 2 cases. 
Constipation, 1 case. 
Diminished appetite, 3 cases. 
Increased appetite, 4 cases. 
Capricious appetite, 2 cases. 
Perverted appetite, 2 cases. 
Vomiting, 3 cases. 
Abdominal pain or paresthesia, 16 cases. 
Thirty -three cases were marked b3" s3unptoms connected with the 
nervous S3" stem; in 11 of these cases the nervous symptoms were onh" 
slight. A number of S3"mptoms occurred as follows: 
Epileptiform convulsions, 9 cases. 
Choreic convulsions, 1 case. 
Clonic spasms of extremities, 2 cases. 
Nodding spasm, 1 case. 
Frequent, diffuse tremor, 1 case. 
Sinistral hemiparesia, 1 case. 
Weakness of right side, 2 cases. 
