Hostname: page-component-8448b6f56d-dnltx Total loading time: 0 Render date: 2024-04-17T21:37:11.806Z Has data issue: false hasContentIssue false

Epidemic Encephalitis: Some Psychical Sequeló

Published online by Cambridge University Press:  19 February 2018

R. D. Gillespie*
Affiliation:
Prof. A. Meyer's Clinic, The Johns Hopkins Hospital, Baltimore

Extract

Numerous observations have lately been recorded in medical literature on the acute manifestations of epidemic encephalitis; but the late after-effects, especially those of a psychotic nature, have been seldom described. Kirby and Davis (1) have emphasized this, and have recorded 18 cases in their early and later stages. They remark that “a satisfactory solution of certain of the psychiatric problems presented by this disease will require a longer period for clinical observation of cases than has elapsed since the appearance of the epidemic of 1918–19.” The following series of 10 cases is offered as a contribution to the clinical records of the sequelae of the disease, especially from the psychiatric point of view. Eight of them originated in connection with the epidemic of 1918–20. The remaining two are of remoter origin, and are admitted on account of their close resemblance to the others, and of their special interest from the point of view of classification and prognosis. Five of them (3, 5, 6, 9 and 10) are, or have been, in mental hospitals. In this connection the only statistics available to me are those quoted by Kirby and Davis (loc. cit.) for the New York State Hospitals in the hospital year from July 1, 1919, to June 30, 1920, when, out of 6,500 admissions, only 20 were considered to be probably cases of epidemic encephalitis. (But the epidemic was subsiding at that time.) The 5 cases mentioned should therefore be of considerable interest; and it is one of the purposes of this paper to show that a more thorough knowledge of the results of this protean disease would lead to its being diagnosed more frequently among the cases, even those of very long residence, in mental hospitals.

Type
Part I.—Original Articles
Copyright
Copyright © Royal College of Psychiatrists, 1924 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

(1) Kirby, and Davis, . —Arch. of Neur. and Psych., May, 1921.Google Scholar
(2) Hohman, . —Arch. of Neur. and Psych., September, 1921.Google Scholar
(3) Bonhoeffer, . —Deutsch. med. Woch., March, 1921.Google Scholar
(4) Mingazzini, . —Zeitschr. f. d. gesamte Neurol, und Psych., 0. 63, 199, 1921.Google Scholar
(5) Grossman, . —Arch. of Neur. and Psych., May, 1921.Google Scholar
(6) McDougall, . —Introduction to Social Psychology.Google Scholar
(7) Henderson, D. K.Amer. Journ. of Insanity, April, 1915.Google Scholar
(8) Findlay, and Shiskine, . —Glasgow Med. Journ., June, 1921.Google Scholar
(9) Quoted by Kirby, and Davis, .Google Scholar
(10) Bing, . —Schweiz. med. Woch., January 6, 1921.Google Scholar
(11) Barré, and Reys, . —Bulletin Méd., April 27, 1921.Google Scholar
(12) Netter, . —Quoted by Walshe, .Google Scholar
(13) Monro, . —Glasgow Med. Journ., July, 1920.Google Scholar
(14) Walshe, . —Brain, vol. xliii, Part 3, 1920.Google Scholar
(15) Kraus, and Pardee, . —Arch. Neur. and Psych., June, 1921.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.