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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    apparent total recovery from encephalitis, had a parkinsonian relapse, accompanied by attacks of rapid deep breathing. These increased in frequency and at length continued through the waking hours, causing much fatigue. Emotion would initiate them, but when started they could not be stopped until their course was run—usually in a minute or two. There was never any feeling of dyspnea, but a sensation that the lungs could not be filled, and he had a desire to expand them as much as possible.” In Ponticaccia’s9 communication the author refers to attacks of dyspnea in one of his postencephalitic myoclonic patients. Hardoin’s1 thesis calls for definite mention in that his is the first monographic study devoted to the clinical types under consideration. Having had in mind the idea of studying the whole parkinsonian symp¬ tomatology Hardoin tells us he was dissuaded from so vast a project by Reriel and limited his study to this as yet little known form. Hardoin speaks of the febrile dyspneas of the early stages, already much discussed in the acute periods by Rollet, v. Economo, Marie and Levy and a host of others. He then takes up those respiratory diffi¬ culties of the chronic stages (p. 17) discussing forms of tachypnea and respiratory tics. Two cases are reported one conditioned by a dia¬ phragmatic myoclonia, the other more difficult to interpret. In his gen¬ eral resume he cites 10 observations. (1) Marinesco’s case of March 16, 1920—an acute fatal case—death in 3 weeks. (2) Case of Roubier (These Verdet) also an acute fatal case after five weeks. (3) Papin, Denechau et Blanc. Dypneic crises with cardiac irregularity coming on at night which appeared one month after the acute onset and later dis¬ appeared—4 months (here noted). (4 and 5) Marinesco’s cases here reported. (6 and 7) Beriel’s cases here cited. (9 and 10) His own 2 cases. Case 1. A married woman of thirty-two with acute encephalitis in February, 1920. A month later she felt oppression in her breathing and by May she had established a constant form of attack which usually began every afternoon between 5 and 6 and persisted into the early hours of her sleep. She had a tachypnea of 80 to the minute, very superficial, but interspersed with deep inspiratory movements. These had persisted up to some time in August even though her general state was much better. Case 2. A married woman of twenty-seven. Encephalitis (7 months pregnant) in January, 1920, recovery from acute stage, accouchement March normal. Then by January, 1921, gradual development of parkin- 9 Ponticaccia. Postumi dell ’encefalite epidemica. Giornali di Clinica Medicina, X, 1921. 1 Hardoin, B. Etude des Troubles Respiratoires dans les Etats Par- kinsoniens lies a l’encephalite epidemique. Dijon, 1921.