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

  • Smith Ely Jelliffe
Date:
1927
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Licence: In copyright

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

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    became more demented and unmanageable. He would refuse to get out of bed, several times attacked the nurse in fits of causeless anger, talked impertinently to strangers, and would make suggestive and even obscene remarks to passing women. He continued to have attacks of rapid breathing and to show local catalepsy at times. Throughout the whole period of my care of him he realized that there was something wrong mentally with him, except at certain short periods when he became dull and stupid, not somnolent, if left alone, but angry, abusive, profane and obscene if ordered to do anything. When I last saw him, six months after my first examination, the symptoms of paralysis agitans had increased, his facial muscles were more rigid, there was a fine tremor of both hands, and he had begun to stoop at the shoulders. My final conclusion was that the paralysis agitans syndrome zvas the result of epidemic encephalitis, but that the dementia would have' appeared sooner or later in any event, indeed had already existed before. [Italics, S. E. J.] CASE HISTORY I 6 It concerns a young Jewish boy born November 20, 1904. His father was born in Russia, his mother in Hungary, they were not related so far as known. Both are alive and well and all collaterals are free from diabetes,7 goiter, alcoholism, tuberculosis, epilepsy, or any now known nervous or mental disease. [They are high strung but their protoplasm is as good probably as anyone else’s protoplasm in spite of Burr’s just quoted statement.] There were five children born. A brother nine years older-then a boy who died in infancy of whooping cough, then a sister four years older, the patient, now twenty, and a sister, twelve years younger. These remaining children are, so far as known, relatively healthy. The sister married about a year ago. The patient was born without difficulty, walked and talked at the usual age, was bright and of average capacity, read at five to six, had measles only, did not wet his bed, bite his finger nails, stammer nor stutter, walk in his sleep or have other ascertainable infantile compulsive habits. He was an impulsive, happy go lucky kind of a boy, fond of joking and joshing, was very sociable, easy to get acquainted with, fond of music, sang popular songs with much pleasure, aspired to play an instrument, but as his older brother banged the piano when he wanted to sing he never conquered the technical difficulties. He was at the average grade in high school. At twelve or probably earlier he was taught masturbation—see later the role played by “ Jerry ” by whom this genital organization period of his sexuality was influenced. 6 As given by Jelliffe. Somatic Pathology and Psychopathology at the Encephalitis Crossroad. A Fragment. Journ. Nerv. & Ment. Dis., LXI, 1925, 561. 7 Grandmother on father’s side had diabetes late in life.