Hostname: page-component-7479d7b7d-qlrfm Total loading time: 0 Render date: 2024-07-11T19:27:08.108Z Has data issue: false hasContentIssue false

The Psychiatric Sequelae of Benign Myalgic Encephalomyelitis

Published online by Cambridge University Press:  29 January 2018

R. E. Kendell*
Affiliation:
The Maudsley Hospital, London, S.E.5

Extract

During the 1950s, epidemics of an illness which came to be known as Benign Myalgic Encephalomyelitis were reported from many different parts of the world. Fourteen such epidemics have been reviewed by Acheson (1959). As each fresh outbreak was reported several curious features began to emerge. No virus or other aetiological agent could ever be incriminated, in spite of strong evidence for an infective origin. The illness showed a strange predilection for young women, particularly nurses, and several epidemics occurred in association with poliomyelitis. And though muscular weakness and other neurological disabilities were often severe, objective evidence of damage to the central nervous system was usually conspicuously absent. Indeed, in comparison with other forms of encephalomyelitis the illness seemed mild, even trivial, yet those affected often suffered repeated relapses and exacerbations for many months or even years, and were always curiously slow to regain their former vigour.

Type
Research Article
Copyright
Copyright © Royal College of Psychiatrists, 1967 

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

Acheson, E. D. (1959). “The clinical syndrome variously called benign myalgic encephalomyelitis, Iceland disease and epidemic neuromyasthenia.” Amer. J. Med., 26, 569595.Google Scholar
Bornstein, B., Bechar, M., and Lass, H. (1960). “Benign myalgic encephalomyelitis: report of five cases.” Psychiat. et Neurol. (Basel), 139, 132140.Google Scholar
Daikos, G. K., Garzonis, S., Paleologue, A., Bousvaros, G. A., and Papadoyannakis, N. (1959). “Benign myalgic encephalomyelitis: an outbreak in a nurses' school in Athens.” Lancet, i, 693696.Google Scholar
Deisher, J. B. (1957). “Benign myalgic encephalomyelitis (Iceland disease) in Alaska.” Northw. Med., Seattle, 56, 14511456.Google Scholar
Gilliam, A. G. (1938). “Epidemiological study of an epidemic, diagnosed as poliomyelitis, occurring among the personnel of the Los Angeles county general hospital during the summer of 1934.” Publ. Hlth. Serv. Bull. (U.S. Treas. Dept.), 240.Google Scholar
Hardtke, E. F. (1955). “Iceland disease in Indiana: a case report.” J. Indiana med. Ass., 48, 245250.Google ScholarPubMed
Hill, R. C. J., Cheetham, R. W. S., and Wallace, H. L. (1959). “Epidemic myalgic encephalomyelopathy: the Durban outbreak.” Lancet, i, 689693.Google Scholar
Pellew, R. A. A. (1951). “A clinical description of a disease resembling poliomyelitis, seen in Adelaide, 1949–51.” Med. J. Aust., 1, 944946.Google Scholar
Poskanzer, D. C., Henderson, D. A., Kunkle, C., Kalter, S. S., Clement, W. B., and Bond, J. O. (1957). “Epidemic neuromyasthenia: an outbreak in Punta Gorda, Florida.” New Eng. J. Med., 257, 356364.Google Scholar
Price, J. L. (1961). “Myalgic encephalomyelitis.” Lancet, i, 737738.Google Scholar
Ramsay, A. M., and O?Sullivan, E. (1956). “Encephalomyelitis simulating poliomyelitis.” Lancet, i, 761764.Google Scholar
Richardson, A. T. (1956). “Some aspects of the Royal Free Hospital epidemic.” Ann.phys. Med., 3, 8189.Google Scholar
Shelokov, A., Habel, K., Verder, E., and Welsh, W. (1957). “Epidemic neuromyasthenia: an outbreak of poliomyelitislike illness in student nurses.” New Eng. J. Med., 257, 345355.Google Scholar
Sigurdsson, B., and Gudmundsson, K. R. (1956). “Clinical findings six years after outbreak of Akureyri disease.” Lancet, i, 766767.Google Scholar
Sigurdsson, B., Sigurjonsson, J., Sigurdsson, J. H., Thorkelsson, J., and Gudmundsson, K. R. (1950). “A disease epidemic in Iceland simulating poliomyelitis.” Amer. J. Hyg., 52, 222238.Google Scholar
The medical staff of the Royal Free Hospital (1957). “An outbreak of encephalomyelitis in the Royal Free Hospital Group, London, in 1955.” Brit. med. J., ii, 895904.Google Scholar
White, D. N., and Burtch, R. B. (1954). “Icelanddisease: a new infection simulating acute anterior poliomyelitis.” Neurology (Minneap.), 4, 506516.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.