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

  • Jelliffe, Smith Ely, 1866-1945.
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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    Historical Resume of Clinical Material Having had the opportunity to observe for protracted periods several characteristic examples of postencephalitic respiratory syn¬ dromes, and having already called attention to the phenomenology,* from the general standpoint of the relationships of somatic pathology to psychopathology as illustrated by one patient under consideration, the present contribution aims to enter into a discussion of this particular syndromy abstracted from the larger frame of the post¬ encephalitic mosaic.1 Respiratory involvements in the acute encephalitic attack have been noted from the first by v. Economo and even before.2 In pre¬ vious epidemics of “ influenza,” “ zona,” and situations which must undoubtedly be recognized as having very intimate relations to epi¬ demic encephalitis, they have been seen and recorded, but only during the past epidemic extension may it be said that they have been as carefully and as exhaustively studied. There can be little doubt that the studies of the past ten years which have been more or less focused upon midbrain and interbrain structures, particularly those upon the basal ganglia, have sharpened the observational power of physicians, particularly neuropsychiatrists, and thus brought into prominence what Strumpell so graphically termed the amyostatic syndromy, heretofore observable but strangely overlooked. Concerning this aspect of the psychology of seeing things either too late, or so badly, or not at all in medicine, cne may well recall Charcot’s comment when Duchenne of Boulogne called attention to * Jelliffe, S. E. Somatic Pathology and Psychopathology at the En¬ cephalitis Crossroad: A Fragment. Jl. Nervous and Ment. Disease, LXI, 1925, 561-586. 1Jelliffie, S. E. Resemblances and Differences Between Epidemic Encephalitis and Schizophrenia. Transactions of the Research Society of Nervous and Mental Disease, Dec. 23, 24, 1925. Am. Jl. Insanity, 1927. 2 Compare Crookshank, Proceedings Royal Society of Medicine, 1919; this same author’s volume on Influenza; Heinemann. Jelliffe, Nervous Syndromes in Influenza, in same volume, pp. 351-387, and also Jelliffe, several papers upon Nervous Complications of Influenza; also Leichtenstein’s classic upon Influenza. See Aronson’s citations of Oppenheim’s descriptions and the cases of Dana and Schlapp, Brooks and Janeway.