To the Editor:
—With reference to the editorial in The Journal, March 15, on lethargic encephalitis, a brief report of a recent case under my observation may be of interest:A woman, aged 40, married, mother of two children, in good health, was first seen by me, February 15, soon after she began to experience profound and constant drowsiness. Both levator palpebrae muscles were partially paralyzed, so that both lids remained half closed. Pulse, respiration, temperature and pupils were normal. In the earlier part of the attack, slight elevation of temperature—from 99 to 100—was occasionally noted. There was no photophobia and no pain. The urine was normal. There was no coma. The patient was easily aroused, but on one or two occasions she manifested temporary confusion of ideas.Neither the patient nor any member of her immediate family has had influenza. A sister and her husband, living in an adjoining