A CLINICAL AND ANATOMIC STUDY OF A VASCULAR LESION OF BOTH CEREBELLAR HEMISPHERES

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Abstract
CLINICAL STUDY History. —J. E. S., aged 58, a native of Boston, an inmate of the Relief Home, San Francisco, was first examined by me on Dec. 7, 1911. His illness began with a sudden onset three years before, in Japan, without previous ill health or warning. Seated in a tea house in Yokohama, he experienced a sensation as if he were "struck by a ball of lightning in the knees." He arose and attempted to walk, which he was able to do for a distance of about 25 yards, but would then have fallen had he not been aided. There was no loss of consciousness, no pain, headache, nausea or vomiting. Incontinence of urine immediately followed the attack, and later there was imperative micturition. Following the stroke he remained in bed several days. It was at once apparent that control of his left arm and leg was practically lost

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