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"Anomalies and Curiosities of Medicine"

For two weeks
there was drowsiness, and the man slept considerably. He was
apathetic, and for many days passed urine in bed. He could not
recognize his wife or old comrades, and had also difficulty in
recognizing common objects and their uses. The most remarkable
feature was the loss of all memory of his life for twenty years
before the accident. As time went on, the period included in this
loss of memory was reduced to five years preceding the accident.
The hemiplegia persisted, although the man was able to get about.
Sensibility was lost to all forms of stimuli in the right upper
eyelid, forehead, and anterior part of the scalp, corresponding
with the distribution of the supraorbital and nasal nerves. The
cornea was completely anesthetic, and the right cheek, an inch
and a half external to the angle of the nose, presented a small
patch of anesthesia. There was undue emotional mobility, the
patient laughing or crying on slight provocation. The condition
of mind-blindness remained. It is believed that the spout of the
oil-can must have passed under the zygoma to the base of the
skull, perforating the great wing of the spheroid bone and
penetrating the centrum ovale, injuring the anterior fibers of
the motor tract in the internal capsule near the genu.


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