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Brain, Vol. 110, No. 1, 19-33, 1987
© 1987 Oxford University Press


research-article

ENCEPHALITIS LETHARGICA

A REPORT OF FOUR RECENT CASES

R. S. HOWARD and A. J. LEES

From The National Hospital for Nervous Diseases Queen Square, London

Correspondence to: Correspondence to: Dr A. J. Lees, The National Hospital for Nervous Diseases, Queen Square, London WC1 3BG, UK.

Four patients are described with an encephalitic illness identical to that described by von Economo. Electroencephalographic, evoked potential and autopsy data suggest that involvement of the cerebral cortex is more extensive than has been generally recognized. Serological tests and viral cultures failed to reveal the infectious agent but the presence of oligoclonal IgG banding in the cerebrospinal fluid in 3 of the patients during the acute phase of the illness would be in keeping with a viral aetiology.

Received October 21, 1985. Revised March 4, 1986. Accepted March 25, 1986.


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