' All I
could learn at the time was that the patient came down to Brighton every
autumn, and that my friend had seen her dragged along in the same way
for ten or twelve years. On January 14 of this year, I was asked to meet
my friend Dr. Behrend in consultation, and at once recognized the
patient as the lady whom I had seen at Brighton. It would be tedious to
relate all the neurotic symptoms this patient had exhibited since 1864,
when she was first attacked with paralysis of the left arm. Among
them--and I quote these from the full notes furnished by Dr.
Behrend--were complete paraplegia, left hemiplegia, complete hysterical
amaurosis, but from this she had recovered in 1868. For all these years
she had been practically confined to her bed or couch, and had not
passed urine spontaneously for sixteen years. Among other symptoms, I
find noted 'awful suffering in spine, head, and eyes,' requiring the use
of chloral and morphia in large doses. 'For many years she has had
convulsive attacks of two distinct types, which are obviously of the
character of hystero-epilepsy.
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