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
During his eleven months captivity at Grafenwöhr, Eschbach and Lacaze
had the opportunity of observing the case of a soldier, 24, who
sustained a shell-wound in the left lung and was made prisoner August
20, 1914, at Chateau Salins. He got well of his wound, but February
16, 1915, began to cry out and was restless in the night. He was found
on the straw muttering words among which only the word, “Head, head,”
could be distinguished. He was irresponsive, possibly deaf. Suddenly he
had a convulsive crisis and whenever touched he would have jactitations
and cry out. Otherwise, he was calm and stuporous. The pupils were
widely dilated. In short, he showed a mental confusion associated with
paroxysmal excitement due to cerebral and cutaneous hyperesthesia. The
first symptoms had occurred the morning before, when he leaned his head
against a wall and complained.
Lumbar puncture yielded intra- and extracellular meningococci. The
patient was isolated. In the afternoon he became less agitated,
kept his eyes closed, mumbled, repeated gestures, would spit in his
hands, rub his hands together, rub his neck, shoulders and body, or
else he would pass his hands over his forehead and through his hair.
Occasionally he would seize the straw and draw it to him with all his
strength. Once when asked, “What is your name?” he said, “Not true. Not
true.” Hallucinations appeared to have been added to the situation. The
neck was a little stiff to forced flexion. Temperature 37.8. Lumbar
puncture under chloroform anesthesia; antimeningococcus serum was
injected. Next day quieter; able to get up and walk. Slept, mumbled
less, was able to answer simple questions, desired to urinate and
finally succeeded.
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