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February 1983

60 YEARS AGO IN THE AJDC: Neuropsychiatric Sequelae of Acute Epidemic Encephalitis in Children

Am J Dis Child. 1983;137(2):166. doi:10.1001/archpedi.1983.02140280058016

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Following the worldwide epidemic of influenza, large numbers of cases of encephalitis occurred. Seventeen such cases in children are the subject of this report. All were referred by the schools because of troublesome, quarrelsome behavior. The children were found to be impulsive and unpredictable with wide sudden swings of mood. Many suffered from insomnia, not being able to get to sleep till 3 to 5 o'clock. Tics, sudden head movements, spitting, and choreiform, incoordinated activity were noted on examination. A number of children were committed, as there was no other way to handle them. Treatment was of no avail, and the prognosis was guarded.—Franklin G. Ebaugh, MD, Philadelphia (February 1923;25:89-97).