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
As an auxiliary the soldier has a right to twenty per cent compensation
for his head wound with loss of substance without bulging of the
dura mater. Of course, as an insane person he must be retired. The
aggravating or accelerating part played by fatigue, emotion and cranial
trauma must, from the standpoint of compensation, be taken into
account.
Shell-shock dementia praecox.
=Case 160.= (WEYGANDT, 1915.)
A subaltern who had been in the service since 1909 was on patrol
under shell fire from the enemy, but shortly thereafter came with his
detachment into the zone of the German fire. Six men, two steps away
from him, were killed by a shell. The officer remained stationary with
the rest of his detachment until darkness set in, then returned, made
his report in due order, but thereafter tremors set in over his whole
body and he lost consciousness. He was carried to the hospital and on
the way met his best friend whom he did not recognize. Arrived at the
hospital he was unable to give answers to questions or obey requests
for two or three hours. He thought he was hearing calls, commands and
a dull _dröhnen_. If an automobile passed he was frightened and cried,
“Auto! Auto!” He remained subject to inhibition, anxiety and insomnia
for a long time; pulse accelerated; visual fields somewhat contracted
for red. Face asymmetrically innervated and dermatographia. Sent to the
reserve hospital, he was still apprehensive, especially at night, but
in the course of a few days became perfectly tranquil. Only if he took
part in the singing of war songs did he feel transient sensations in
his knees.
Here is a case of psychic shock with many traits, such as inhibition
and hallucinations, suggestive of dementia praecox. The Abderhalden
reactions (cortex, white matter, testes, not thyroid) all, according to
Weygandt, are suggestive also of dementia praecox.
Shell-shock dementia praecox.
=Case 161.= (DUPUOY, 1916.)
A machine gunner, 23, was the sole survivor, March 18, 1915, of the
explosion of a large calibre shell in a block house containing ten men.
He worked himself out of the débris and came to Dupuoy’s attention in
September, when an extension of leave was asked for him.
There were two groups of symptoms; persistent headache, painful
hyperacousia, vertigo, tremulous walk, cervical spinal column stiff and
painful both spontaneously and to pressure, muscular weakness, tremor
of hands, hypesthesia of extremities especially upper, exaggeration of
tendon and bone reflexes with tendency to ankle clonus and patellar
clonus, sterno sign lively, frequent nosebleeds (two to four times a
week), profound sweating, unequal pupils.
Public-domain text, read in full here on John Shaqi.
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