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June 29, 1912


Author Affiliations

Professor of Clinical Neurology and of Neuropathology in the Medico-Chirurgical College; Neurologist to the Philadelphia General Hospital PHILADELPHIA

JAMA. 1912;LVIII(26):2015-2017. doi:10.1001/jama.1912.04260060368004

During the summer of 1911, because of the excessive heat there were more than the usual number of cases of heat exhaustion. It seemed to me, therefore, that a discussion of some of the resulting nervous symptoms would not be inappropriate. Of the number of cases seen in the course of years two are here reported because of their unusual character. The first was that of a patient in whom a severe sunstroke was followed by multiple nervous lesions producing acute cerebellar ataxia, loss of speech and spastic symptoms, an unusual combination. The second was that of a cook in whom because of overheating there occurred muscular spasms. The interesting feature was that he had an old poliomyelitis of one leg. In spite of this the muscular spasms were just as marked in the palsied limb as elsewhere, this being an interesting contribution to the theory that the spasms are