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Sub-Acute Encephalitis: Behavioural and Neurological Aspects

Published online by Cambridge University Press:  29 January 2018

Jonathan Himmelhoch ,
Jonathan Pincus ,
Gary Tucker  and
Thomas Detre
Jonathan Himmelhoch
Affiliation:
Department of Psychiatry, Tale University School of Medicine, 333 Cedar Street, New Haven, Connecticut, 06510; Psychiatry, Yale-New Haven Hospital
Jonathan Pincus
Affiliation:
Section of Neurology, Tale University School of Medicine
Gary Tucker
Affiliation:
Department of Psychiatry, Yale University School of Medicine; Psychiatric Inpatient Division, Yale-New Haven Hospital
Thomas Detre
Affiliation:
Department of Psychiatry, Yale University School of Medicine; Yale-New Haven Hospital
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Extract

Behavioural symptoms suggestive of the so-called functional psychiatric disorders are often observed during the course of sub-acute or chronic encephalitides, particularly sub-acute sclerosing panencephalitis. This has been regarded as an invariably fatal neurological illness, but Cobb et al. (1) have recently presented two non-fatal cases and have drawn attention to rare scattered reports of others, some with behavioural disorders. We have therefore made a survey of cases of sub-acute encephalitis at the Yale-New Haven Hospital, especially noting their behavioural aspects.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 116 , Issue 534 , May 1970 , pp. 531 - 538
Copyright
Copyright © Royal College of Psychiatrists, 1970 

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References

1. Cobb, W. A. and Morgan-Hughes, J. A. (1968). ‘Non-fatal subacute sclerosing leucoencephalitis.’ J. Neurol. Neurosurg. Psychiat., 31, 115–123.CrossRefGoogle ScholarPubMed
2. Connolly, J. H., Allen, I. V., Hurwitz, L. J., and Millar, J. H. D. (1968). ‘Subacute sclerosing panencephalitis—clinical, pathological, epidemiological and virological findings in three patients.’ Quart. J. Med., 37, 625–44.Google Scholar
3. Corsellis, J. A. N., Goldbert, G. J., and Norton, A. R. (1968). ‘Limbic encephalitis and its association with carcinoma.’ Brain, 91, 481–96.Google Scholar
4. Drachman, D., and Adams, R. D. (1962). ‘Herpes simplex and acute inclusion body encephalitis.’ Arch. Neurol., 7, 61–3.Google Scholar
5. von Economo, C. (1931). Encephalitis Lethargica: Its Sequelae and Treatment. Translated by Newman, K. O. London.Google Scholar
6. Flynn, J. P., Wasman, M., and Eggar, M. D. (1963). ‘Behavior during propagated hippocampal discharge,’ in EEG and Behavior (ed. Glaser, G. H.). New York: Basic Books, pp. 134–48.Google Scholar
7. Glaser, G. H., Solitaire, G. E., and Manuelidis, E. E. (1968). ‘Acute and subacute inclusion encephalitis.’ Assoc. Res. Nerv. Ment. Dis. Proc., 44, 178–215.Google Scholar
8. Glaser, G. H., Solitaire, G. E., and Manuelidis, E. E. (1967). ‘Limbic epilepsy in childhood.’ J. Nerv. Ment. Dis., 144, 391–7.CrossRefGoogle ScholarPubMed
9. Goldstein, K. (1948). After Effects of Brain Injuries in War—Their Evaluation and Treatment. New York: Grune and Stratton.Google Scholar
10. Goldstein, K. (1952). ‘The effect of brain damage on the personality.’ Psychiatry, 15, 245–60.Google Scholar
11. Green, J. D. (1964). ‘The hippocampus.’ Physiol. Rev., 44, 561–608.Google Scholar
12. Hendricks, I. (1927). ‘Encephalitis lethargica and the interpretation of mental disease.’ Amer. J. Psychiat., 7, 989–1014.Google Scholar
13. Irfman, I. (1962). ‘Age and manifestation of psychosomatic disorders.’ Vita Hum., 5, 161–6.Google Scholar
14. Johnson, R. T., and Mems, C. A. (1968). ‘Pathogenesis of viral infections of the nervous system.’ New Eng. J. Med., 278, 23–30 and 84-92.Google Scholar
15. Kahn, E. (1934). ‘Organic driveness; a brainstem syndrome and an experience with case reports.’ New Eng. J. Med., 210, 748–56.Google Scholar
16. Katz, M., Rorke, L. B., Masland, W. S. Koprowski, H., and Tucker, S. H. (1968). ‘transmission of an encephalitogenic agent from brains of patients with subacute sclerosing panencephalitis to ferrets.’ New Eng. J. Med., 279, 793–8.Google Scholar
17. Kennedy, C. (1968). ‘A ten-year experience with subacute sclerosing panencephalitis.’ Neurology, 18, (part 2), 58–9.Google Scholar
18. Leider, W., Magoffin, R. L. Lennette, E. H., and Leonards, L. N. R. (1965). ‘Herpes simplex virus encephalitis: its possible association with reactivated latent infection.’ New Eng. J. Med., 273, 341–7.Google Scholar
19. MacLean, P. D. (1952). ‘Some psychiatric implications of physiological studies on frontotemporal portion of limbic system.’ Electroenceph. clin. Neurophysiol., 4, 407–18.Google Scholar
20. Morrell, F., Roberts, H. L., and Jasper, H. H. (1956). ‘Effect of focal epileptogenic lesions and their ablation upon conditioned electrical responses of brain in monkey.’ Electroenceph. clin. Neurophysiol., 8, 217–36.Google Scholar
21. Mullan, S., and Penfield, W. (1959). ‘Illusions of comparative interpretation and emotion: production by epileptic discharge and by electric stimulation in temporal cortex.’ Arch. Neurol. Psychiat., 81, 269–84.Google Scholar
22. Olson, L. C, Buescher, E. L., Artenstein, M. S., and Parkman, P. D. (1967). ‘Herpes virus infection of the human central nervous system.’ New Eng. J. Med., 277, 1271–7.Google Scholar
23. Papez, J. W. (1937). ‘A proposed mechanism of emotion.’ Arch. Neurol. Psychiat., 38, 725–43.Google Scholar
24. Pearce, J. M. S., and Barwick, D. D. (1964). ‘Recovery from presumed subacute inclusion body encephalitis.’ Brit. med. J., ii, 611–13. Sept. 1964.Google Scholar
25. Resnick, J. S., Engel, W. K., and Sever, J. L. (1968). ‘Subacute sclerosing panencephalitis.’ New Eng. J. Med., 279, 126–9.Google Scholar
26. Rosner, A. A. (1942). ‘The psychiatric sequelae of epidemic encephalitis.’ Chap. VII, 323–87. Encephalitis—A Clinical Study. New York.Google Scholar
27. Shaw, C, Buchan, G. C., and Carlson, C. B. (1967). ‘Myxovirus as a possible etiologic agent in subacute inclusion body encephalitis.’ New Eng. J. Med., 277, 511–15.Google Scholar
28. Shearer, M., and Finch, S. (1964). ‘Periodic organic psychosis associated with recurrent herpes simplex.’ New Eng, J. Med., 271, 494–7.Google Scholar
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