NEW YORK NEUROLOGICAL SOCIETY

Abstract

Dr. E. G. Zabriskie: Case 1.—The patient, a middle aged woman, had a typical onset with high temperature and delirium; she then went into a phase with an acute bulbar syndrome and was unconscious for six weeks. The tem¬ perature was 102.4. There was difficulty in swallowing with complete bilateral facial paralysis and respiratory disturbance ; she suffered very little pain, but was left with considerable deltoid paralysis of both arms. The disease has picked out different groups of muscles ; on the right is seen better extension of the forearm than of the fingers ; on the left there is lack of extension of the forearm and good extension of the fingers. The cranial nerves have completely recovered, and she is making fairly regular progress between the upper dorsal levels. Case 2.—This patient presents several unusual features. The young woman was taken ill four years ago and there was a typical course. She was ill for six or eight months with lethargy, diplopia and fever. She had an inconstant fine tremor from which she apparently recovered so completely that she married. Shortly after marriage she became pregnant. Six months after the birth of the child she began to show the condition from which she is now suffering : tremor of the left arm and a peculiar facial expression, marked by constant depression of the lower jaw which gives an appearance like a yawning reflex. She also has gained about 60 pounds (27 kg.) in weight, which is still increasing.