Psychopathology of forced movements and the oculogyric crises of lethargic encephalitis / by Smith Ely Jelliffe.

  • Jelliffe, Smith Ely, 1866-1945.
Date:
1932
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Licence: In copyright

Credit: Psychopathology of forced movements and the oculogyric crises of lethargic encephalitis / by Smith Ely Jelliffe. Source: Wellcome Collection.

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    three of which have been studied intensively. They were the stim¬ ulus to this study. These are to be found in a later chapter. Holding the opinion that even one case investigated in great detail is of far greater value so far as understanding is concerned than 100 less intensively studied, the question of numbers is of secondary value from the standpoint of the present study. Practically all of the cases summarized in this study have been in chronic encephalitic parkinsonism. For the most part, the ocular situations come on late in the progress of the disorder. Vivaldo speaks of the development of the crises simultaneously with the acute stages of the encephalitis. Stengel reports a case apparently develop¬ ing as early as four weeks from the onset of the illness. These are among the rare early developing examples. A few have occurred within a year after the acute infection, but the majority have occurred from two to four or more years after the acute disorder. Wimmer reported one case in which the crises began as late as seven years after the encephalitis. In one of my patients the first oculogyric crisis occurred nearly six years after the acute attack of encephalitis. It is of no particular value to chart such temporal occurrences, for the facts which at present seem relevant are not temporal but belong in an entirely different category.