Shell-shock and other neuropsychiatric problems : $b Presented in five hundred and eighty-nine case histories from the war literature, 1914-1918Southard, Elmer Ernest
History
Shell-shock and other neuropsychiatric problems : $b Presented in five hundred and eighty-nine case histories from the war literature, 1914-1918
Southard, Elmer Ernest
War neuroses; World War, 1914-1918 -- Medical care; World War, 1914-1918 -- Psychological aspects
He was eventually admitted to the second Eastern General Hospital at
Brighton, January, 1916. At the time of admission he was semiconscious,
stuporous, confused, disoriented, anxious in a dull sort of way,
talking about his expectation of “a sailor with a card.” Speech was
intelligible, though fragmentary and infrequent. The man obeyed
commands but gave no replies to questions. The mental processes were
slow and impaired.
According to Ballard, we have here a case of epileptic confusion, eight
months after the initial concussion. This particular attack ceased
three days later, leaving amnesia for the attack and a certain amount
of mental retardation. The man was not epileptic in temperament and his
personal and family history proved negative.
=Case 84.= (BALLARD, 1917.)
A soldier was buried in a mine explosion, October, 1915, and for
several days thereafter was unconscious or semi-conscious. He emerged
deaf and subject to stammering and a condition termed “neurasthenic.”
The stammering was soon replaced by mutism, which lasted several weeks.
The mutism was then supplanted by epileptic fits.
He was observed by Ballard in a dreamlike, disoriented and inaccessible
state, in which he was anesthetic to pin pricks, lay awestruck, dumbly
following with his finger hallucinatory airplanes. Flexibilitas cerea
was also shown at this time.
Next day he emerged from the dreamlike state with mental processes
somewhat slowed, disorientation for time, amnesia for the attack,
memory disturbance and a return of the stammer. On the next day
following, all these symptoms had disappeared except amnesia for the
attack. Another spell of epileptic fits occurred later. It seems that
the man had had a convulsion thirteen years before and occasional
convulsions since. In fact, he, seven years before, had had what
was called “a stroke” and residuals of a slight hemiplegia were
still present. (There is no statement in the case report relative to
syphilis.)
Emotion; shell fire: Epileptic equivalents.
=Case 85.= (MOTT, January, 1916.)
Public-domain text, read in full here on John Shaqi.
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