Atypical affective disorder with episodic dyscontrol: a case of von Economo's disease (encephalitis lethargica).
The case is described of a patient with atypical affective disorder, episodic behavioural dyscontrol and parkinsonism resulting from presumed encephalitis lethargica. EEG abnormalities were found which were compatible with a post-encephalitic state and suggestive of epileptiform complications. Poor or deleterious response to neuroleptics, sleep disorder, and parkinsonism are features that may allow recognition of this illness in a psychiatric setting.
Department of Psychiatry, University of Toronto, Ontario, Canada.
J D
JD
Dolan
R
R
Kamil
D000328:Adult; D014150:Antipsychotic Agents / Q000009:adverse effects / Q000627:therapeutic use; D002220:Carbamazepine / Q000008:administration & dosage / Q000627:therapeutic use; D002746:Chlorpromazine / Q000009:adverse effects / Q000627:therapeutic use; D002908:Chronic Disease; D004569:Electroencephalography; D004671:Encephalitis, Arbovirus / Q000150:complications*; D005500:Follow-Up Studies; D006801:Humans; D008140:Lorazepam / Q000008:administration & dosage / Q000009:adverse effects / Q000627:therapeutic use; D008297:Male; D019964:Mood Disorders / Q000188:drug therapy / Q000209:etiology*; D012725:Sexual Behavior
D014150:Antipsychotic Agents; D002220:Carbamazepine; D008140:Lorazepam; D002746:Chlorpromazine