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Comment & Response
August 14, 2018

Neurological Symptoms in US Government Personnel in Cuba

Author Affiliations
  • 1Department of History and Social Sciences, Botany Downs Secondary College, Auckland, New Zealand
JAMA. 2018;320(6):602. doi:10.1001/jama.2018.8702

To the Editor Dr Swanson and colleagues reported a case series of US government personnel in Cuba with neurological symptoms associated with audible and sensory phenomena.1 The authors argued against the possibility of mass psychogenic illness as the etiology. Mass psychogenic illness is a nervous system disturbance characterized by excitation, alteration, or loss of function, with the physical symptoms exhibited unconsciously and lacking an organic etiology.

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