The patient was left to rest, quietened, treated carefully,
avoiding sudden stimulations, allaying her fears and suspiciousness
of danger, lurking in the background of her mind. After a few
hours she sat up, made an attempt to raise herself from bed, got
up with some effort, and sat down in an easy rocking chair next to
her. Her eyes were wide open. Asked how she was, she replied in a
whisper that she felt quite well. The effort however fatigued her,
her head began to drop, eyelids began to close, and the eyeballs
began to roll up. Twitchings were observed in the eyelids, and
tremors in the left arm. She was again put to bed and given a rest
of a few hours. She opened her eyes, and told me that she was weak.
This statement she herself volunteered. I found that she could move
her hands easily, and that the numbness was completely gone.
For a whole week the patient kept on growing in health and in
strength, her sensori-motor reactions improved, she walked round
the room for a few minutes, talked in a low voice for a quarter
of an hour at a time without manifesting her symptoms of fatigue;
her appetite and sleep improved accordingly. At the end of the
week there was again a relapse,--she did not sleep well the night
before, dreamt of being hunted and tortured, woke up depressed, had
no appetite for breakfast, complained of headache, pains, worries,
and fears. The headaches have abated in their virulence during last
week, but now they seemed to have reappeared in their former vigor.
When I began to examine her she looked frightened, her eyeballs
rolled up, her eyelids closed. The aphonia was severe, patient lost
speech and voice. When spoken to she could not answer. Asked if
she heard me, she nodded her head affirmatively. There were slight
twitchings of her left hand and also of the muscles of her face.
When attention was attracted to the arm the twitchings increased in
violence and rapidity. With the distraction of the attention the
twitchings disappeared. When the left hand was put in the patient’s
field of vision, thus making her attention concentrate on that
limb, the tremors increased again, becoming finally convulsive in
character.
I insisted she should try to open her mouth, and say
something,--she made fruitless efforts, moving incoordinately the
muscles of the face and of the forehead, but she could not utter a
sound. She could not move her arms on command, could hardly wriggle
the fingers of her hand. She appeared like a little bird paralyzed
by fear. When the arm was raised passively it fell down slowly
being in a cataleptic state.
Public-domain text, read in full here on John Shaqi.
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