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AN ACUTE DESCENDING RADICULAR TYPE OF EPIDEMIC ENCEPHALITIS

AN ACUTE DESCENDING RADICULAR TYPE OF EPIDEMIC ENCEPHALITIS Abstract INTRODUCTION During the recurrence of epidemic influenza this winter, there have appeared a number of cases which at first seemed to be a new type of infection of the central nervous system. These have assumed a characteristic course, and should perhaps be considered a new clinical syndrome; however, from an etiologic point of view, it must of necessity be regarded as a distinct form of epidemic encephalitis. Five of these patients have come under my observation, and their recovery necessarily limits this study to the results of a clinical investigation.Radiculitis has been described clinically, especially in conjunction with herpes zoster, syphilis, and as a secondary manifestation resulting from pressure on the dorsal roots; but as an inflammatory process progressively involving the spinal roots it is rarely encountered, and has not been described.According to Mayer,1 radiculitis is usually a unilateral condition, and is rarely bilateral except in the References 1. Mayer, Edward E.: Radiculitis; Its Diagnosis and Interpretation , J. A. M. A. 71:353 ( (Aug. 3) ) 1918.Crossref 2. Dejerine, J.: Semeiologic des affections du systeme nerveux , Paris, 1914, 2:820 and 884. 3. Barker L. F.; Cross, E. S., and Irwin, S. V.: On the Epidemic of Acute and Subacute Inflammation of the Nervous System Prevalent in the United States in 1918-19: Encephalitis, Encephalomyelitis; Polyneuritis, and Meningo-Encephalo-Myeloneuritis , (Part 1) , Am. J. Med Sc. 159:157, 1920.Crossref 4. Tilney, F., and Riley, H. A.: Epidemic Encephalitis , Neurological Bull. 2: 106 ( (March) ) 1919. 5. DeFano, C., and Ingleby, H.: Preparations for Cases of Encephalitis Lethargica , Proc. Roy. Soc. Med., Section of Pathol. 12:42, 1919. 6. Buzzard: Encephalitis Lethargica , Proc. Roy. Soc. Med., Section of Neurol. 12:56, 1919. 7. McNalty: British Local Government Board, Report on Encephalitis Lethargica, N. S., 1918, No. 121. 8. Strauss, I., and Loewe, L.: The Etiology of Acute Epidemic Encephalitis. Presented before the New York Pathological Society, Feb. 11, 1920. 9. Personal communication from Dr. H. L. Amoss. 10. Menninger, K. A.: Psychoses Associated with Influenza , Arch. Neurol. & Psychiat. 2:291 ( (Sept.) ) 1919. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Neurology & Psychiatry American Medical Association

AN ACUTE DESCENDING RADICULAR TYPE OF EPIDEMIC ENCEPHALITIS

PARDEE, IRVING H.
Archives of Neurology & Psychiatry , Volume 4 (1) – Jul 1, 1920
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References (9)

Publisher
American Medical Association
Copyright
Copyright © 1920 American Medical Association. All Rights Reserved.
ISSN
0096-6754
DOI
10.1001/archneurpsyc.1920.02180190027004
Publisher site
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Abstract

Abstract INTRODUCTION During the recurrence of epidemic influenza this winter, there have appeared a number of cases which at first seemed to be a new type of infection of the central nervous system. These have assumed a characteristic course, and should perhaps be considered a new clinical syndrome; however, from an etiologic point of view, it must of necessity be regarded as a distinct form of epidemic encephalitis. Five of these patients have come under my observation, and their recovery necessarily limits this study to the results of a clinical investigation.Radiculitis has been described clinically, especially in conjunction with herpes zoster, syphilis, and as a secondary manifestation resulting from pressure on the dorsal roots; but as an inflammatory process progressively involving the spinal roots it is rarely encountered, and has not been described.According to Mayer,1 radiculitis is usually a unilateral condition, and is rarely bilateral except in the References 1. Mayer, Edward E.: Radiculitis; Its Diagnosis and Interpretation , J. A. M. A. 71:353 ( (Aug. 3) ) 1918.Crossref 2. Dejerine, J.: Semeiologic des affections du systeme nerveux , Paris, 1914, 2:820 and 884. 3. Barker L. F.; Cross, E. S., and Irwin, S. V.: On the Epidemic of Acute and Subacute Inflammation of the Nervous System Prevalent in the United States in 1918-19: Encephalitis, Encephalomyelitis; Polyneuritis, and Meningo-Encephalo-Myeloneuritis , (Part 1) , Am. J. Med Sc. 159:157, 1920.Crossref 4. Tilney, F., and Riley, H. A.: Epidemic Encephalitis , Neurological Bull. 2: 106 ( (March) ) 1919. 5. DeFano, C., and Ingleby, H.: Preparations for Cases of Encephalitis Lethargica , Proc. Roy. Soc. Med., Section of Pathol. 12:42, 1919. 6. Buzzard: Encephalitis Lethargica , Proc. Roy. Soc. Med., Section of Neurol. 12:56, 1919. 7. McNalty: British Local Government Board, Report on Encephalitis Lethargica, N. S., 1918, No. 121. 8. Strauss, I., and Loewe, L.: The Etiology of Acute Epidemic Encephalitis. Presented before the New York Pathological Society, Feb. 11, 1920. 9. Personal communication from Dr. H. L. Amoss. 10. Menninger, K. A.: Psychoses Associated with Influenza , Arch. Neurol. & Psychiat. 2:291 ( (Sept.) ) 1919.

Journal

Archives of Neurology & Psychiatry – American Medical Association

Published: Jul 1, 1920

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