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June 23, 1923


Author Affiliations

Professor of Neurology, University of Pennsylvania School of Medicine PHILADELPHIA

JAMA. 1923;80(25):1843-1844. doi:10.1001/jama.1923.02640520025008

The diagnosis of epidemic encephalitis may in some instances be difficult; the symptoms may resemble those of brain tumor, and this difficulty may be greatly increased when choked disks are present. Some physicians believe that choked disks do not occur in epidemic encephalitis, but I have had at least three cases in which the diagnosis of encephalitis seemed to me definite, and yet choked disks were present. It is singular that all three cases were in boys, two 16 years old and one 17. I have made some investigation of the literature to determine what is published concerning choked disks in epidemic encephalitis.

Holden1 reported on the eye symptoms noted in 100 consecutive case histories of epidemic encephalitis at Mount Sinai Hospital. It is not stated whether the eyegrounds were examined in every case. There was noted in four patients a blurring of the optic disks, and in one