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July 1920

AN ACUTE DESCENDING RADICULAR TYPE OF EPIDEMIC ENCEPHALITIS

Author Affiliations

Associate Physician to the Neurological Institute; Assistant Attending Neurologist, City Hospital; Assistant in Neurology St. Luke's Hospital Clinic NEW YORK

Arch NeurPsych. 1920;4(1):24-43. doi:10.1001/archneurpsyc.1920.02180190027004
Abstract

INTRODUCTION  During the recurrence of epidemic influenza this winter, there have appeared a number of cases which at first seemed to be a new type of infection of the central nervous system. These have assumed a characteristic course, and should perhaps be considered a new clinical syndrome; however, from an etiologic point of view, it must of necessity be regarded as a distinct form of epidemic encephalitis. Five of these patients have come under my observation, and their recovery necessarily limits this study to the results of a clinical investigation.Radiculitis has been described clinically, especially in conjunction with herpes zoster, syphilis, and as a secondary manifestation resulting from pressure on the dorsal roots; but as an inflammatory process progressively involving the spinal roots it is rarely encountered, and has not been described.According to Mayer,1 radiculitis is usually a unilateral condition, and is rarely bilateral except in the

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