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October 1928

DYSTONIA MUSCULORUM DEFORMANS OF ENCEPHALITIC ETIOLOGYVEGETATIVE NERVOUS SYSTEM DISTURBANCES A PRELIMINARY REPORT

Author Affiliations

MONTREAL; NEW YORK

From the Neurologic Service, Montefiore Hospital for Chronic Diseases New York.

Arch NeurPsych. 1928;20(4):824-833. doi:10.1001/archneurpsyc.1928.02210160165014
Abstract

Persistent and intractable attacks of vomiting and nausea in patients suffering from dystonia musculorum deformans led us to investigate the cause of this condition. Seventeen cases were studied, six from the hospital and eleven from the hospital records since 1922. Our observations lead us to believe that many of the cases show evidence of involvement of the vegetative centers in the central nervous system. The question has arisen whether one may speak of dystonia of smooth muscle, as shown by the various symptoms, and in making this preliminary report we shall record the observations and venture a possible explanation.

REPORT OF CASES  Case 1.—R. E., a woman, aged 23, was admitted to the hospital on Sept. 27, 1921, with generalized involuntary movements; she gave a history of diplopia, drowsiness and fever in September, 1920. Before admission, there were several episodes of retention of urine requiring catheterization, and dysmenorrhea of increasing

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