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 woke up in the night with a cry, got up afraid, and refused to go
back into his own bed. He was mute, except for curses addressed to the
nurses. After two hours he went to bed and to sleep. Next day he sat
quietly with a depressed look, occasionally groaning deeply, talking in
brief phrases about his anxiety, wanting his wife telephoned to, saying
that he would not see his children, was going into the four planks, and
the like.
This situation lasted about a week. He became afraid of medicines and
thought he had been poisoned, saying that he would rather be shot
than poisoned and complaining that, though he had served France for
fourteen months, they now wanted to kill him. In the night time he
was agitated. He gave vent to cries, and threats, but this delirious
state rapidly decreased and he became calm the night of September 27th.
The upper extremities showed a tendency to catatonia. From this time
forth, during the remaining month, the patient was immobile, mute,
fearful, and mistrusting, depressed and always wore a cunning look. His
disorientation decreased and he passed good nights. He would answer
questions by groaning. He would say, “They think I am a Tartar.” The
end of the mental disorder coincided with the cure of the paratyphoid
fever. According to Merklen, the paratyphoid bacillus in these cases
serves to bring out a psychopathic taint. This particular patient had
always been of a sad demeanor, uncommunicative, very impressionable and
emotional. Two other cases had always been somewhat below normal.
Diphtheria: Post-diphtheritic symptoms.
=Case 127.= (MARCHAND, 1917.)
A farmer, 37, was evacuated March 20, 1916, for diphtheria. April 1,
paralysis of tongue and uvula, impairment of vision. These symptoms
rapidly improved, but paralysis of the legs appeared and then of the
arms. This paralysis lasted until he was sent to the neurological
center June 28 for post-diphtheritic paralysis, wherein it was found
that voluntary movements of the legs could be performed, though
painfully and of slight extent, that walking was impossible, that there
was a considerable atrophy of legs and arms, that the knee-jerks,
Achilles jerks and plantar reflexes were absent. There was complaint of
pains in the legs and over nerve trunks.
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