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June 1952

FRACTURES OF THE SPINE DURING INSULIN SHOCK THERAPY

Author Affiliations

LITTLE ROCK, ARK.

AMA Arch NeurPsych. 1952;67(6):797-807. doi:10.1001/archneurpsyc.1952.02320180074009
Abstract

INTRODUCTION  IN A PREVIOUS communication,1 an analysis of electric-shock fractures was presented in which correlations with possible predisposing factors were discussed.It was the purpose of the present, similar invesigation to study insulin-shock fractures of the thoracic portion of the spine in an effort to correlate such fractures with any determinable theoretical predisposing or etiologic factors and to determine the incidence of such fractures with insulin shock treatment. A review of the literature did not reveal any information along these lines.

General Comment Regarding Insulin Shock.—  Insulin shock is defined as a "circulatory insufficiency resulting from overdosage with insulin which causes the sudden reduction of blood sugar. It is marked by tremor, sweating, vertigo, diplopia, convulsions, and collapse."2 Insulin shock therapy for certain psychoses was developed in 1928 by Manfred Sakel,3 and the fact that it is still being used despite the difficulty of its administration is

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