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PAROXYSMAL AUTONOMIC CRISES IN THE POSTENCEPHALITIC STATE: Report of a Case

PAROXYSMAL AUTONOMIC CRISES IN THE POSTENCEPHALITIC STATE: Report of a Case Abstract PAROXYSMAL autonomic crises or attacks as a manifestation in the postencephalitic state have not been described in standard neurologic textbooks. Reports of this syndrome in the literature have been exceedingly rare in spite of the voluminous material on the sequelae of epidemic encephalitis. Consequently, when one is confronted with the striking group of symptoms that constitute the autonomic crisis in postencephalitic patients, many apparently new and troublesome questions present themselves. For this reason the following unusual case is reported. REPORT OF CASE The patient, a 41 year old Negro, had a high school education and was rather intelligent. The family history was noncontributory. In 1918, at the age of 15, he had a severe bout of "influenza," and in the following year he exhibited behavior difficulties, necessitating his remaining away from school for about a year. In 1923, at the age of 20, he had an attack or a relapse References 1. Bard, P.: The Hypothalamus and Sexual Behavior , A. Research Nerv. & Ment. Dis., Proc. (1939) 20:551, 1940. 2. Cannon, W. B.: The Wisdom of the Body , ed. 2, New York, W. W. Norton & Company, Inc., 1939 3. Bodily Changes in Pain, Hunger, Fear and Rage , New York, D. Appleton-Century Company, 1915. 4. Cushing, H.: Papers Relating to the Pituitary Body, Hypothalamus and Parasympathetic Nervous System , Springfield, Ill., Charles C Thomas, Publisher, 1932. 5. Penfield, W.: Diencephalic Autonomic Epilepsy , Arch. Neurol. & Psychiat. 22:358 ( (Aug.) ) 1929. 6. Wimmer, A.: Further Studies upon Chronic Epidemic Encephalitis , London, William Heinemann, Ltd., 1929. 7. Neal, J. B., and others: Encephalitis: A Clinical Study , New York, Grune & Stratton, Inc., 1942. 8. Borremans, P., and van Bogaert, L.: Paroxysmal Vegetative Syndromes of Central Origin: Two Cases , Presse méd. 44:1091 ( (July 4) ) 1936. 9. Ostow, M.: Recurrent Autonomic Phenomena Associated with Exacerbations of Postencephalitic Parkinsonism: Report of a Case , Arch. Neurol. & Psychiat. 50:342 ( (Sept.) ) 1943. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Neurology & Psychiatry American Medical Association

PAROXYSMAL AUTONOMIC CRISES IN THE POSTENCEPHALITIC STATE: Report of a Case

Archives of Neurology & Psychiatry , Volume 55 (4) – Apr 1, 1946

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Publisher
American Medical Association
Copyright
Copyright © 1946 American Medical Association. All Rights Reserved.
ISSN
0096-6754
DOI
10.1001/archneurpsyc.1946.02300150092007
Publisher site
See Article on Publisher Site

Abstract

Abstract PAROXYSMAL autonomic crises or attacks as a manifestation in the postencephalitic state have not been described in standard neurologic textbooks. Reports of this syndrome in the literature have been exceedingly rare in spite of the voluminous material on the sequelae of epidemic encephalitis. Consequently, when one is confronted with the striking group of symptoms that constitute the autonomic crisis in postencephalitic patients, many apparently new and troublesome questions present themselves. For this reason the following unusual case is reported. REPORT OF CASE The patient, a 41 year old Negro, had a high school education and was rather intelligent. The family history was noncontributory. In 1918, at the age of 15, he had a severe bout of "influenza," and in the following year he exhibited behavior difficulties, necessitating his remaining away from school for about a year. In 1923, at the age of 20, he had an attack or a relapse References 1. Bard, P.: The Hypothalamus and Sexual Behavior , A. Research Nerv. & Ment. Dis., Proc. (1939) 20:551, 1940. 2. Cannon, W. B.: The Wisdom of the Body , ed. 2, New York, W. W. Norton & Company, Inc., 1939 3. Bodily Changes in Pain, Hunger, Fear and Rage , New York, D. Appleton-Century Company, 1915. 4. Cushing, H.: Papers Relating to the Pituitary Body, Hypothalamus and Parasympathetic Nervous System , Springfield, Ill., Charles C Thomas, Publisher, 1932. 5. Penfield, W.: Diencephalic Autonomic Epilepsy , Arch. Neurol. & Psychiat. 22:358 ( (Aug.) ) 1929. 6. Wimmer, A.: Further Studies upon Chronic Epidemic Encephalitis , London, William Heinemann, Ltd., 1929. 7. Neal, J. B., and others: Encephalitis: A Clinical Study , New York, Grune & Stratton, Inc., 1942. 8. Borremans, P., and van Bogaert, L.: Paroxysmal Vegetative Syndromes of Central Origin: Two Cases , Presse méd. 44:1091 ( (July 4) ) 1936. 9. Ostow, M.: Recurrent Autonomic Phenomena Associated with Exacerbations of Postencephalitic Parkinsonism: Report of a Case , Arch. Neurol. & Psychiat. 50:342 ( (Sept.) ) 1943.

Journal

Archives of Neurology & PsychiatryAmerican Medical Association

Published: Apr 1, 1946

References