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August 9, 1965


Author Affiliations

Ann Arbor, Mich

JAMA. 1965;193(6):547-548. doi:10.1001/jama.1965.03090060137027

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This small volume summarizes the author's experience with postencephalitic Parkinsonism—clinical observations, management, and complications—and contains also a brief review of the pathological and physiological aspects of the disease.

The author briefly reviews etiology of the various varieties of Parkinsonism but, apart from the postencephalitic variety, offers little clinical or pathological detail. The discussion of physiology is more rewarding and contains a brief but interesting section on control of muscle tone, a subject of considerable interest currently.

Encephalitis lethargica receives considerable attention, with a valuable historical summary of original clinical observations pertaining to the acute illness and subsequent neurological complications. Crises are emphasized, particularly the respiratory and sweating varieties. And the presentation includes an excellent discussion of the deformities following the postencephalitic form, with numerous illustrations and observations on their pathogenesis and management.

Onuaguluchi outlines satisfactorily the current drug therapy as well as other modes of treatment and discusses in detail

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