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Madeline is very ill; she is cataleptical and her body is wasting away. A cataleptic is a person who has seizures and can go into a death-like trance afterward. Madeline shows herself briefly in front of the narrator but doesn’t acknowledge his presence. Then she retires to her bedroom for good.
Madeline supposedly dies and her body is entombed below ground.
Madeline breaks out of her tomb and comes upstairs to scare her brother to death.