ERIC Number: EJ804422
Record Type: Journal
Publication Date: 2007
Reference Count: 6
Neuropsychiatric Sequelae of Acute Epidemic Encephalitis in Children
Ebaugh, Franklin G.
Journal of Attention Disorders, v11 n3 p336-338 2007
In reviewing the enormous number of articles on all phases of acute epidemic encephalitis one cannot help being impressed by the lack of attention paid to children who have suffered from this disease. This is especially true of the important neuropsychiatric sequelae. During the past few months, seventeen patients have been referred to the neuropsychiatric clinic for examination because of marked behavior abnormalities. This group consisted of six girls and eleven boys. The age varied from 2 to 14 years. This article discusses the findings of the study conducted on this group. In the seventeen cases of postencephalitis disturbances of a neuropsychiatric type the psychiatric sequelae consisted of: (1) total change in character and disposition with characteristic hyperkinetic stages, leading to behavior oddities consisting of emotional liability, sexual precocity, general incorrigibility, etc.; (2) insomnia with nocturnal agitation; (3) affective disorder of a depressive type; (4) hysterical reactions; (5) tics, fears; and (6) mental deficiency. Neurologic sequelae consisted of headaches, dizziness, diplopia, drowsiness, asthenia and oversalivation. Disturbances in motility, especially choreiform movements, were present. These disturbances appear to be related to the mental state. Visual disturbance and facial weakness also occurred as residuals. Evidence of endocrine change was noted in one case. There is no specific treatment for these conditions. Children should be sent to psychopathic wards for observation. Spinal drainage was effectual in several cases. These children do not react to discipline.
Descriptors: Patients, Depression (Psychology), Symptoms (Individual Disorders), Severity (of Disability), Children, Neurological Impairments, Behavior Change, Mental Disorders, Emotional Disturbances, Medical Services, Diseases, Psychological Patterns
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Publication Type: Journal Articles; Reports - Descriptive
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