Excerpt from A Clinical Contribution to the Study of Post-Paralytic Chorea, Vol. 2: A Contribution to the Study of Localized Cerebral Lesions

He was a fairly-developed boy, with apparent good general health. He had been well until last April, when he began to suffer from diffused headache, more temporal, but not one-sided. One day in May he went down to his office feeling as well as usual, and began his work with full use of all his limbs. About 11 o'clock a.m. Was writing, leaning on the desk, the left arm thrown forward and its fingers steadying the paper. He got up to cross the room with a book in his left hand, but the book fell to the floor, and he then first became aware that his left arm was weak. There were at the time no subjective or sensory symptoms, cerebral or peripheral. The leg was not in any way affected. He was able, though awkwardly, to feed himself at dinner that evening.

The paresis gradually increased until the middle of July, and since that time there has not been much change.

Shortly after the attack, within a few days, patient noticed numbness of the left hand and forearm, and this has somewhat increased.

In the early part of July convulsive movements began in the left hand, and have since become greater in force, and have ex tended to other parts of the left side. The left leg began to twitch and grow weak also in the first part of July, and since October slight twitching has appeared in the lower part of the left side of the face. Lately sight has become impaired, but hearing is preserved.

There have never been any symptoms on the right side. He has never had any epileptic or epileptiform seizures. Memory has somewhat failed.

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