a boy, aged 13, at the beginning of July 1934, found that he was unable to read, and at school could not see what was written on the blackboard. He often vomited. In December 1934, he began to experience headaches both by day and at night. Because of his defective sight, he was sent to an Eye Clinic by the school authorities in November and attended there daily until Christmas. On January 4, 1935, he was referred to an ophthalmic surgeon, who, discovering papillcedema, sent him to the outpatient department at St. Mary's Hospital, from which he was admitted to the ward. According to his mother's statement, he had ceased to grow for two years and had been getting fatter. Nothing relevant in the earlier history. Had mastoiditis when 1 year and 9 months old; two weeks before the onset of the present illness a chronically inflamed appendix had been removed on account of recurrent attacks of abdominal pain and vomiting. Condition on admission.-A pale, short, obese boy; height 4 ft. 4 in.; weight 4 st. 8 lb. The distribution of body fat was greatest in the abdomen and pectoral and pelvic girdle regions. Afebrile, but complained of headache, and was drowsy, lying mostly curled up on his left side and not easily roused. Pulse and respiratory rate normal. No signs of meDingitis. Seemed somewhat dull mentally; slow in responding, but appreciative of what was said to him. His mother said that be " took hours over sImall errands." Eyesight very defective; field of vision diminished. Obvious bitemporal
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