Mr. W. T. O—, aged 48. Admitted to Han well (now St. Bernard's) Hospital on 15. iv. 1904.

The patient was admitted from Wormwood Scrubs prison, and there is no available information regarding his condition before his admission to hospital. At this time it was stated that he was confused and unable to give any accurate information about himself. He was garrulous and his conversation was largely incoherent. There are no details of his physical condition on admission. In 1908 he is described as being elated and garrulous. He expressed many delusions of grandeur, stating, for instance, that he was owed large sums of money and possessed his own private carriages, etc. He was rather childish and his memory was impaired. His physical condition was stated to be “much improved “and he was able to be up and about. Even so he showed definite and obvious physical signs of general paralysis (unequal pupils, reacting only sluggishly to light, tremor of lips, etc.).