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Article
October 13, 1923

SPONTANEOUS CURE OF A CASE OF EPIDEMIC (LETHARGIC) ENCEPHALITIS FOLLOWING AN ATTACK OF PNEUMONIA

JAMA. 1923;81(15):1284-1285. doi:10.1001/jama.1923.26510150001012
Abstract

E. S., a boy, aged 8 years, who had had an attack of encephalitis in September, 1919, a month later manifested symptoms of reversal of sleep, change in character, and other disturbances. He was then taken to the mountains to recuperate, where he spent a year without any benefit; in fact, he became worse.

Jan. 12, 1922, one and a half years later, he exhibited, as sequelae of his encephalitis, paroxysmal attacks involving the respiratory mechanism, and complete change in behavior. These respiratory attacks began one year after the acute attack of encephalitis. In the main, they resembled those in cases described by Parker,1 and, in part, those by Haas, Sicard, Aronson and others.

The patient was admitted to Lebanon Hospital one week later. The attacks were characterized by rapid and deep respiration five or six times, and then holding of the breath, as if the child had a

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