Shell-shock and other neuropsychiatric problems

Case 241. (Russel, August, 1917.)

A young Canadian paid $150 to have his teeth repaired to be accepted for service and then married. The wife became pregnant. He reported sick after falling out on a route march in a heavy rainstorm. The medical officer said he had weak feet and ankles. He lay around the huts, was excused duty, and got worse in the wet and cold. He was admitted to hospital and came to Russel’s wards on a stretcher showing paralysis of both legs with slight power of movement at the knee. Stroking anesthesia to pin prick from the knee down. Reflexes not abnormal. He walked back upstairs!

According to Russel the wife’s pregnancy had furnished a sufficient incentive, and the M. O.’s suggestion had fallen on fertile soil.