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June 1934

ACUTE LYMPHOCYTIC MENINGITIS

Author Affiliations

BROOKLYN

From the Neurologic Service of the Jewish Hospital.

Arch NeurPsych. 1934;31(6):1235-1246. doi:10.1001/archneurpsyc.1934.02250060121008
Abstract

Scant attention has been paid in America to a symptom-complex which has been widely discussed in Europe in recent years. Especially from France, Germany and Scandinavia have come reports of cases designated by various authors as acute benign idiopathic serous meningitis,1 acute aseptic meningitis,2 benign aseptic purulent meningitis,3 and epidemic meningitis serosa.4 Only recently have reports emanated from this country.5

In the syndrome to be discussed there is a prodromal period of one or two weeks, as a rule, during which the patient may have the symptoms of an infection of the upper respiratory tract. Then there is a sudden onset of headache, general malaise, vomiting, mild fever, a varying degree of rigidity of the neck and a mild Kernig sign. Signs in the pyramidal tract are unusual (Kecht6). Blurring of the disks is fairly common in adults. Rarely does involvement of the cranial

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