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The British Journal of Psychiatry (1970) 116: 531-538. doi: 10.1192/bjp.116.534.531
© 1970 The Royal College of Psychiatrists
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Sub-Acute Encephalitis: Behavioural and Neurological Aspects

JONATHAN HIMMELHOCH M.D.1, JONATHAN PINCUS M.D.2, GARY TUCKER M.D.3, and THOMAS DETRE M.D.4

1 Postdoctoral Fellow, Department of Psychiatry, Yale University School of Medicine, 333 Cedar Street, New Haven, Connecticut, 06510; and Chief Resident, Psychiatry Yale-New, Haven Hospital
2 Assistant Professor of Medicine (Neurology), Section of Neurology, Yale University School of Medicine
3 Assistant Professor of Psychiatry, Department of Psychiatry, Yale University School of Medicine; and Medical Director, Psychiatric Inpatient Division, Yale-New Haven Hospital
4 Associate Professor of Psychiatry, Department of Psychiatry, Yale University School of Medicine; and Psychiatrist-in-Chief, Yale-New Haven Hospital

Eight patients with sub-acute encephalitis are presented and discussed. Behavioural abnormalities were prominent in all. The bizarre behaviour induced physicians to ignore neurological findings, to overlook evidence of organic brain syndromes (such as intermittent lucidity and markedly abnormal electroencephalograms), and to make functional diagnoses. Other characteristic features were, (1) the history of good premorbid functioning, (2) the patient's unambiguous role in a supportive, well functioning family unit, and (3) the poor response of the behavioural symptoms to therapy (especially pharmacologic).

Submitted on April 8, 1969




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