Sensory.—No definite change.
Reflexes.—Pupils normal. Sluggish reaction to light and accommodation.
Organic.—Deglutition difficult. Micturition and defæcation not under control.
Vaso-motor.—Tâche cérébrale marked.
Eye neuro-retinitis. Unequal amaurosis.
Heart.—Increased action, variable; alteration during exacerbations of colic. Second sound in aortic area accentuated. High pressure, variable. Majority of arteries thickened.
He suffered gradual mental change; the whole of the mental symptoms increased in severity until the patient looked like the final stages of a case of general paralysis. He died on December 1. Colic was present at intervals during the whole time.
Post-mortem made the next day. Septic bronchitis. Hæmorrhage at the base of epiglottis and left vocal cord.
Lungs.—Septic broncho-pneumonia.
Pericardium.—Small amount of fluid.