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On examination the urine was found to be free from sugar and albumen, and the optic discs were quite normal.
Since February he has complained of persistent headache, starting chiefly from the left eyeball, with vertigo, vomiting, and loss of appetite. His weight has diminished from 155 lbs to 147 lbs. He has a staggering gait, and seems unable to walk much, but the reflexes are normal.
As some of the fits have occurred in his sleep it has been necessary to have him watched at night.
He has been taking Bromide of Sodium regularly which has had the effect of partially reducing the frequency of the paroxysms. He has also had Iodide of Potassium, pushed to large doses, and Chloral Hydrate for sleeplessness.
He was condemned for making an assault on a shipmate with a hatchet, and maintains his absolute innocence of the crime. The subsequent epileptic attacks might support the theory that the crime was committed during a transient attack of epileptic mania. The possible occurrence of homicidal mania following such an attack makes it undesirable to treat him in the wards of the General Hospital.
(Signed) W. Jenning Milles, M.D., F.R.C.S.Eng. Acting Surgeon to H.B.M's Consular Gaol.