delivered the opinio- of .» court:
The Appellate Court affirmed a judgment recovered by appellee in the circuit court of Rock Island county, against appellant, for damages on account of an injury alleged to have been received by falling on a defective *518sidewalk. The declaration charged that the defendant wrongfully and negligently suffered said sidewalk to be arid remain in bad and unsafe repair and condition, and divers of the stringers and planks wherewith the said sidewalk was laid to be and remain rotten, broken and unfastened. It was denied that the sidewalk was out of repair, but the principal defenses presented under the plea of the general issue were, that the sidewalk was not located on a public street of the defendant; that the alleged permanent injuries and bodily infirmities of the plaintiff had no existence, and that such disorders and infirmities as she had did not result from her fall, but existed previously and were of long standing.
It is assigned as error that the circuit court refused to grant defendant’s motion for a continuance or postponement of the trial. But the abstract does not show the grounds of the motion or the affidavits in support of it. The bill of exceptions as abstracted contains only the following: “Motion and affidavits by defendant for continuance. Motion for continuance overruled. Motion for a postponement. Motion overruled by the court and jury selected and sworn.” Presumably, the ruling of the court was right, and there is nothing to show that it was wrong.
The sidewalk in question was on the west side of the alleged street, which extended south from Fifth avenue up a hill. The evidence for the plaintiff was, that she was walking, in company with her husband, from Fifth avenue along this sidewalk; that her husband was walk: ing on her right, and when about half way up the hill, owing to one of the boards being loose and his stepping on the end, it tipped and caught one of her feet, so that she was thrown forward upon the sidewalk; that immediately afterward she suffered greatly from her injury, and had convulsions, vomiting, sinking spells, excruciating pains aud other difficulties for some time, and that she suffered permanent injuries by her spine becoming *519curved forward in the small of her back, so as to make a hollow place much more pronounced than natural, and her right leg becoming paralyzed. As to the injuries and the resulting consequences, her attending physician, Dr. Charles C. Carter, was her principal witness. He attended her from the next day after the accident, July 6, 1896, and he testified that he found a little swelling across the top of her foot, partly discolored, which was the only external evidence of her injury. He also testified to her having convulsions, vomiting, setting her teeth, choking sensations, loss of voice, symptoms of spinal meningitis and other ailments. His testimony and all the evidence on both sides was, that she was an hysterical subject, and he said that her symptoms were characteristic of hysteria. It was proved that long before this accident she-had substantially the same symptoms and physical troubles, with the exception of the alleged difficulty with the spine and paralysis of the right leg. These were the main injuries which the evidence in her behalf tended to show resulted from the fall, and they were the main in-' juries for which she sought to. recover. In the opinion of Dr. Carter there was an anterior curvature of the spine, making a hollow in her back, and her right leg was completely paralyzed; and there were other witnesses, both lay and medical, who testified to the same conditions. As against these alleged permanent injuries, the defense made at the trial was, that there was no deformity or abnormal curvature of the plaintiff’s spine; that her right leg was not paralyzed; that she was an impostor and a fraud, and that her alleged injuries of that kind were feigned. There was a sharp contest over this question, and the evidence was in irreconcilable conflict. The condition of plaintiff’s back was presented as accounting for the paralysis of her leg, and it was claimed that she had not used the leg since the accident. The evidence on both sides was that the right leg was slightly larger, by measurement, than the left; that the color was good and *520the muscles firm and as well developed as those of a sound leg, and that there was no atrophy or wasting. It was insisted on one side that if there had been paralysis and entire disuse there would be atrophy and shrinking, and ' on the other hand, that there might not be.
In January, 1899, two years and a half after the accident and a few months before the trial, an examination of the plaintiff was made by three physicians, at which Dr. Carter was present. These three physicians testified that there was no deformity of the plaintiff’s spine; that there was a curve just above the hips, which was entirely natural; that plaintiff was a large and fleshy woman, and that thick layers of flesh and fat just below the alleged curvature created the appearance of a depression. They said they made a very careful examination and used all the known tests and found there was no difficulty with the spine. Their evidence tended to prove plaintiff feigned the existence of painful areas in her body and would cry out on pressure, but if her attention was attracted elsewhere she would not notice pressure at all. They also testified that the muscles of the leg were active and perfect; that they had her get out of bed and saw her move the leg" in doing so; that while she was sitting in a chair one of them lifted the leg off of the floor and extended it in a horizontal position and then removed the support, and that she held the leg in that position a short time and then let it down slowly to the floor. They said this test demonstrated that she had muscular action; that if the limb was paralyzed the muscles would be paralyzed, and that it required muscular power to hold it up and let it down as she did. Their conclusion was that there was no paralysis whatever. One of these physicians did not leave the house with the other two but remained with Dr. Carter, the attending physician. He testified that he then said to plaintiff, “Mrs. Starkey, if that leg is paralyzed why in the world didn’t it drop?” That she said she had rheumatism in *521the knee joint; that he then let the leg go, and the instant he did so it fell to the floor. There was also evidence of Dr. Carter and others of her own witnesses that she had previously attempted to deceive them in respect to other physical manifestations, and the medical testimony was that such attempts at deceit were characteristic of hysteria.
After the defense closed their evidence, the plaintiff called Dr. Carter in rebuttal. He then testified that there was a species of paralysis in which a leg might be extended a moment before it would fall, and then fall irregularly, in little jerks. This, he said, was spastic paralysis, which being interpreted means paralysis of a spasmodic character, where there is contraction and rigidity. He said that in that sort of paralysis the leg might become fixed like a lead pipe. When he was on the stand before, he had testified to a condition of ordinary paralysis, and in speaking of his tests said, “I raised the leg and it always dropped.” When re-called he said he was surprised to see the leg acting the way it did at the examination, but he also said he noticed the spastic condition first in December,—a month before the examination, after he had been attending plaintiff about two and a half years. He said that after the other physicians had gone, when the remaining one asked plaintiff why she did not drop the leg if she had paralysis, and he extended the leg and let go of it, it did drop quicker than when they were all examining it, but that it still retained some of the spastic condition. After this testimony defendant sought to re-call two of the physicians who were present at the test, but the court refused to allow them to testify. We think fairness required that the defense should have been allowed to meet this proposition. All the testimony for the plaintiff up to that time had been that the leg was limp and useless, and there was no hint of any rigid or spastic form of paralysis. It had not been so much as suggested that plaintiff *522had an exceptional sort of paralysis, but it was entirely new matter and a new theory. The question how the leg would act if suffering from spastic paralysis had not been raised. The existence of this particular variety of paralysis was not entirely consistent with the previous evidence for the plaintiff, and when the new theory was presented defendant oug'ht to have been allowed to show that the symptoms were not of that kind. The argument in support of the ruling is, that it would be simply going over what the physicians had already testified to. They had testified that they saw plaintiff move the leg in getting out of bed and that the leg did not immediately fall when the support was removed, and that she could not have had paralysis and held it as she did. Of course, it would not be proper to allow the witnesses to be reexamined to prove the same facts, but Dr. Carter testified that the leg would remain extended for a time and go down by little jerks. To re-examine the doctors to show whether it went down a notch at a time, by little jerks, or whether it manifested rigidity or tonic spasm or the symptoms of spastic paralysis, would not be going over the same ground.
One of the defenses was that the place where the alleged accident occurred was not a public street as to which the defendant was charged with any duty or responsibility, and it is assigned for error that the trial court gave the second instruction asked by plaintiff, telling the jury that the acceptance of the street by the city might be shown by long continued use by the public. The evidence in respect to the street was, that it was never laid out as a public highway and there was never any formal act of dedication or acceptance. About thirty-nine years before the accident the strip of the width of an ordinary street was opened to public use by the owner of the adjoining land, and it was commonly called “Andrews street,” from his name. It extended- south from Fifth avenue up the hill about seven hundred feet, where *523it stopped, and the only outlet from that end was by an alley on each side. There were houses on each side, and the sidewalk in question was built by Porter Skinner, who lived on the west side and had several tenement houses fronting on the street. The evidence for the plaintiff tended to show that the strip had been used as a way for public travel for more than twenty years; that the officers in charge of the streets of defendant, and persons working under them, had repaired the street and filled up holes with clay and macadam and graded it so that teams could pass; that the grade was given by the city engineer and city teams did the hauling; that a gutter was built by the city and water mains were put down in the middle of the street under its direction, and that in the revised ordinance it was ordained that this street, which had been called Andrews street, should be called Thirty-first street. It was not denied that the street was used by all who saw fit or had occasion to use it, but the defendant denied the work on the street was done by direction of the city authorities or that the city built the gutter. The defendant claimed that it had not accepted the street through its proper authorities, and that the council did not intend to accept the street by giving it a name. The instruction complained of states, in substance, as rules of law, that to constitute a street it must appear, from the evidence, that the street in controversy is a public way used by the public for street purposes and accepted by the city authorities for public use; that the acceptance may be shown by proof of long continued use of the alleged street as a public way; also by evidence that the city authorities have, by its workmen or laborers, made repairs in its corporate capacity on the alleged street for the purpose of improving it as a street, and that the jury may consider any evidence that the city has, by ordinance, designated it as a public street.
In order to charge a city with liability for a failure to care, for an alleged public street, as in this case, both *524the dedication and an acceptance must be proved. No formal act of acceptance is necessary nor any record of such an act, but the evidence must show an acceptance of the street by those authorized to represent the public. Where there is no formal acceptance by the municipality and there is an attempt to prove an adoption of the street by the public authorities, the question is one of fact, and in the cases cited by the respective parties it was dealt with as such a question. In some cases the evidence has only shown that a few parties occasionally traveled over the road, and in considering the question what would justify an inference of the fact of acceptance it has been said that mere travel by the public does not, of itself, constitute an acceptance. (Forbes v. Balenseifer, 74 Ill. 183.) Such user as amounts to an acceptance may be shown by travel and by acts of public officers in repairing and keeping up the highway. (Woodburn v. Town of Sterling, 184 Ill. 208.) Again, it has been said that an acceptance may be shown by user by the public, as by travel, or by the acts of the public officers in repairing and keeping up the streets. {Town of Lake View v. LeBahn, 120 Ill. 92.) In another case, where a way had been for a long time in constant and general use by the public, it was said that an acceptance might be evidenced by user. {City of Sullivan v. Tichenor, 179 Ill. 97.) Treating the question as one of fact, from the circumstances of the particular case, it has been held that long continued and general public use or the acts of public officers may be sufficient to prove the fact. It is the law that it must appear the street was accepted by the city authorities for public use, and the instruction was proper in that statement. It was not accurate in saying, as a matter of law, that the acceptance would be proved by evidence of long continued use as a public way. The instruction declared the rule that long continued use, regardless of its manner or extent, would establish the acceptance, and it does not require that it should be general. There might *525be long continued use as a public way by a few persons, and the use not be of such general character as to necessarily show an intention of the. public authorities to accept the street. Use by the public is evidence tending to show an acceptance, (Woodburn v. Town of Sterling, supra,) and'that is the most that the court could say as a matter of law. In this case there was much other evidence of acceptance besides the use made of the street, and perhaps the inaccuracy of the instruction would not alone be ground for reversing the judgment.
The third instruction given at the request of plaintiff told the jury that if they believed, from the evidence, that the street in controversy was a public street in the city of Rock Island, the defendant was bound to exercise ordinary care to keep it in repair. This instruction is objected to by counsel on the ground that it did not tell the jury what was necessary, in law, to constitute a public street. It was not necessary to repeat in every instruction which referred to the street, the facts which would create a street.
It is complained of the ninth instruction given at the request of plaintiff that it gave the jury leave to consider the manner of construction of the sidewalk in determining the question of care or negligence of the defendant. The sidewalk was not built by the defendant, and there was no charge in the declaration that the original construction was faulty in any respect. We do not think the instruction allowed the jury to consider any faulty construction or to charge the defendant on account of it. It had been built a number of years, and the only point of the instruction was, that in considering the obligation of the city to use reasonable care the jury might consider what kind of a sidewalk it was, and that would not be objectionable. {City of Joliet v. Johnson, 177 Ill. 178.) In determining the question of the care of thé city in inspecting the sidewalk and keeping it in reasonably safe condition, the jury might properly consider the material *526of which it was constructed and the manner of construction with reference to decay and probable need of repair.
It is complained that the court refused the thirty-third instruction offered by defendant on the proposition that plaintiff was bound to act in a reasonably prudent manner in caring for her injuries, and that if they believed she did not disclose her previous condition to the doctor, so that he did not properly diagnose and treat her injuries, she could not recover from the defendant for permanent injuries. There is no evidence in the record that her failure to tell the doctor that she had had hysterical attacks before, in any way affected his treatment. He testified that she was an hysterical subject, and he was not ignorant of her peculiarities.
It is also assigned as error that the court refused to exclude from the jury evidence of repairs on the street, and refused an instruction on the same proposition. This is on the ground that only the city council could accept the street. The evidence tended to show that-the work and repairs were done by or under the direction of those who had charge of the streets, and the ruling was correct.
The court refused to give a number of instructions asked by the defendant, to the effect that if the plaintiff’s condition was the result of hysteria or physical infirmities that existed prior to the accident she could not recover damages for it and she could not recover for a pre-existing condition. This is complained of, and, on the other hand, it is insisted that the propositions contained in these instructions, so far as g'ood, were embraced in other instructions. Instructions were given which stated, generally, what plaintiff was required to prove, and that she must show that she received the injury and that it was the proximate result of the city’s negligence in permitting the sidewalk to be out of repair. The court also gave an instruction that if the jury believed she was not injured by her fall, and that her disabilities were not real but feigned, to recover money *527fraudulently from the defendant, they should find for the defendant. There was no instruction, however, which in any way separated or brought to the attention of the jury the rule as to the liability of the city for aggravation of previous conditions which were acknowledged to exist. If, prior to the injury, plaintifi had diseases which " were aggravated by the fall she might recover from the defendant, but its liability would be measured by the damages which were the natural and proximate result of its negligence. The evidence tended to show something more than a mere latent tendency to particular diseases, and if there was an aggravation of the existing diseases the city would only be liable for what resulted from the fall. We do not think the substance of these instructions was covered by others.
The judgments of the Appellate Court and circuit court are reversed and the cause is remanded to the circuit court.
„ 7 7 7 7 Beversed and remanded.