Postencephalitic respiratory disorders : review of syndromy, case reports, physiopathology, psychopathology and therapy / by Smith Ely Jelliffe.

  • Smith Ely Jelliffe
Date:
1927
Catalogue details

Licence: In copyright

Credit: Postencephalitic respiratory disorders : review of syndromy, case reports, physiopathology, psychopathology and therapy / by Smith Ely Jelliffe. Source: Wellcome Collection.

    15/152 page 3
    when observers were first brought in contact with these phenomena in the present epidemic. Thus Turner and Critchley, in their mas¬ terly paper, say “ such cases were regarded at first as rare or unusual manifestations, frequently labeled ‘ hysterical ’ in nature.” Gradually however, it became realized that disorders of respiration form well defined and important sequelae which may constitute the sole after result, or may on the other hand accompany parkinsonism, mental aberration, sleep disturbance, or any other well recognized sequel. Many of the older descriptions of hysterical dyspnea show the occurrence of these types of dyspnea. They can be collected in great number if one has the industry or the interest to look for them. Thus to take at random one of the Paris Theses, that of Henri Loubry, on “ Contribution a 1'Etude des Dyspnees d’Origine Hysterique,” 1906, and opening at p. 44, Observation X, one finds a perfect example of a “ postinfluenzal ”—tachypnea of the type described by recent authors. This patient had bradypnea, tachypnea, apnea with cyanosis; they even did three tracheotomies upon this twenty-seven-year-old individual. His respiratory attacks came on in June, 1905, after an attack of “ rhume ” in December of the previous year. He had sialorrhea, tetaniform attacks (a la Barker and Sprunt), and opisthotonos (a la Parker cases), etc. Since it may be a part of the purpose of this paper to discuss these “hysterical” manifestations, Charcot’s (1886) “tachypnea hysterique ” and Weir Mitchell’s (1883-1893)5 studies on the same subject may prove of special interest later. Neglecting- for the time being the older studies upon these dyspneas, and coming to the “ encephalitis ” studies, the earliest reports I have found are those of Marinesco, shortly followed by the case of Aronson, and then of Barker and Sprunt, Beriel, Insabato, Kennedy, Idyslop and Davis, and others, all in the year 1921. Har- doin’s initial thesis, kindly sent me by Professor Beriel, appeared in this year. These I here present in abbreviated abstract form: Papin, Denechau et Blanc present very briefly6 the first observation belonging possibly more in the acute phases than the chronic, hence only mentioned here. 5 Mitchell, S. Weir. Hysterical Rapid Respiration, with Cases, Am. Jl. Med. Sc., CV, 1893, 235. Some of these cases are undoubtedly “ post¬ influenzal.” Lectures on Nervous Diseases, 2d ed., pp. 198 et seq. 6 Bull. Soc. Med. d. Hopitaux, July 10, 1919.
    digitised image 1
    digitised image 2
    digitised image 3