1885 Journal of Nervous and Mental Disease  
The patient was sixty-six years old, an Italian, a hard drinker, who entered the hospital for a scorbutic eruption May 18, 1883. His condition slowly but surely improved. By the first of July he was sufficiently recovered to attempt to leave his bed to walk. The attendants reported that the man, instead of going forward, walked backward. When he rose to his feet to attempt to walk, he looked at the floor, spread his legs as one who has fears of losing his balance and of falling, Sustained by
more » ... ng, Sustained by the arm and so held as not to in¬ fluence him in any direction, he was asked to walk. He replied that he was unable to do so, but when commanded in a resolute tone he attempted to advance forward, but instead of doing so, he went backward, exercising with the limb a force as if overcom¬ ing an obstacle. After having gone a short distance in this man¬ ner, the body arched over backwards, then turned from right to left, and would have certainly fallen if he had not been sustained. Raising him, the same experiment was repeated with like results, when he was returned to bed, as he appeared to be suffering very much. Upon inquiring into his history, it was found the patient had passed easily through the usual maladies of infancy, and at twentyone years had malarial fever of the quotidian type, which occurred again at twenty-six, lasting two months, and was of the tertiary form. When thirty-one he had facial erysipelas. For about five months, at the age of fifty-five, he had a somewhat serious illness. He had fever, pain in the head and neck, and a general sense of weakness. After this attack he never had perfect health, and suffered from time to time from lack of strength, from swelling and pain in his feet, which were worse in winter. He continued at his work till one day in December, 1882, when he suddenly lost consciousness and fell ; but he quickly recovered himself, and 448
doi:10.1097/00005053-188510000-00005 fatcat:s2w7fnzb3vhihjlgyb6tkt5dza