Excerpt from The Medical Chronicle, Vol. 14: A Monthly Record of the Progress of Medical Schince
Clinically the division is usually made into the primary or idiopathic cases with no physical basis for the disease and those which are secondary or symptomatic.
I have had three cases under observation in the last four years. One, sent to me by Dr. Richard Jones, of Festiniog, was a worker in a quarry a man act. 55. He was severely injured on the head, was rendered unconscious for two days, and then passed into a state of excitement. There was slight paresis of the left arm and leg with exaggerated knee-jerks. Soon after the accident he began to suffer from thirst, and passed six to seven litres of urine free from sugar. He suffered from aching pains in the arms, severe headache and vertigo, and lost the sense of smell in both nostrils. Dr. Jones considered the base of the skull had been fractured, and a curious symptom was present which seemed to indicate the escape of cerebro-spinal ﬂuid through the nose.
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