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September 1943

RECURRENT AUTONOMIC PHENOMENA ASSOCIATED WITH EXACERBATIONS OF POSTENCEPHALITIC PARKINSONISM: REPORT OF A CASE

Author Affiliations

WASHINGTON, D. C.

From West Lodge Service, Saint Elizabeths Hospital, and the Department of Neurology, George Washington University School of Medicine.

Arch NeurPsych. 1943;50(3):342-349. doi:10.1001/archneurpsyc.1943.02290210120010
Abstract

The unhappy manifestations of epidemic encephalitis continue to provide the opportunity for provocative excursions into the physiology of the human central nervous system. This report is concerned with a patient who presented features of recurrent autonomic release associated with exacerbations of chronic postencephalitic parkinsonism. The episodic nature of the phenomenon and the occurrence of mutism in the presence of unimpaired cerebration are additional features of interest.

REPORT OF CASE 

History.  —Charged with housebreaking, a Negro aged 32 was transferred to Gallinger Municipal Hospital from the district jail on Sept. 25, 1933 for mental observation. He had previously sought admission to that hospital in August 1931, complaining of stiffness of his left arm. At that time the facies were masklike, and he held his left upper extremity flexed and dragged his left leg while walking. His movements were slow, and some cogwheel rigidity was observed in the left upper extremity. The

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