摘要:

SUMMARYA case of a 29‐year‐old man who exhibited periodic somnolence for periods ranging from 2 to 10 days from the age of 18 onward and whose 3 family members had similar episodes of somnolence is reported. The main symptoms of this case were somnolence and depressive state. The specific manifestations were paraesthesia in the limbs, alteration of body schema, exceptional liking for sweets previous to somnolence, difference in the amount of serum potassium between the interval stage and somnolence stage, and the inducement of sleep by glucose. Carbamazepine plus phenobarbital with an addition of imipramine were effective in the treatm

ISSN:1323-1316    

DOI:10.1111/j.1440-1819.1969.tb02878.x

出版商:Blackwell Publishing Ltd    

年代:1969

数据来源: WILEY

ISSN:1323-1316    

DOI:10.1111/j.1440-1819.1969.tb02879.x

出版商:Blackwell Publishing Ltd    

年代:1969

数据来源: WILEY

摘要:

SUMMARYA 16‐year‐old boy with peculiar movement of head, hands and trunk with rhythmic oscillation, 1 to 2 per second forward and backward was reported. This tic‐like movement said to have developed after he has suffered from an unknown severe febrile illness. On pneumoencephalogram striking enlargement of lateral ventricles and communicating cavum septi pellucidi were demonstrated. The boy made a remarkable recovery, following a right ventriculoauri‐culostomy with insertion of a Pudenz valve. Hence, the bobbing tremor might be considered to be nonspecific manifestations of hydrocephalus which presumably causes pressure upon basal ganglia or other extrapyramidal structures.Of clinical interest is an association with psychopathic tendency such as frequent vagrancy, confabulatory tendency, collecto‐mania and emotional instability which was not found in the previous cases. These personality changes might be considered from the same viewpoints as the bobbing tremor in which disturbance of basal ganglia seems to play an important role. The bobble‐head doll syndrome is a peculiar neuropathologi‐cal disorder which seems to be one of the extrapyramidal disturbances, but this bobbing tremor is a unique one; the head bobbing movement disappears or at least markedly decreases, following surgical relief of hydrocephalus. As stated Nellhaus4), this is considered to be rev

ISSN:1323-1316    

DOI:10.1111/j.1440-1819.1969.tb02880.x

出版商:Blackwell Publishing Ltd    

年代:1969

数据来源: WILEY

摘要:

SUMMARY1TheIIA ‐SER Pattern (Inter‐Individual A verage Somatosensory Evoked Response Pattern)of 87 mâle adult subjects, who were coalminers and exposed to CO‐gas in an accidental explosion in the coal mine 3 years prior to the present study and were surviving with or without residual symptoms at the time of the present study, was shown as the figure and as the series of numbers representing the deviations of the pattern from an estimated isoelectric line at intervals of 5 msec in latency.2TheIIA‐SER Patternof the CO poisoned consisted of the components N1, P1, N2, P2, N3, P3and N4, with the latencies of 20, 25, 35, 40, 75, 105 and 165 msec, respectively.3TheIIA‐SER Patternof the CO poisoned was compared with that of mâle adult schizophrenics presented in the previous study. (1) The troughs of Ni, N2and, especially, N3were deeper, and the latencies of Pi and P2were smaller in theIIA‐SER Patternof the CO poisoned than in that of schizophrenics. (2) ThePattern of Vertical DifferencebetweenIIA‐SER Patternsof the CO poisoned and of schizophrenics attained to maximum at 60

ISSN:1323-1316    

DOI:10.1111/j.1440-1819.1969.tb02881.x

出版商:Blackwell Publishing Ltd    

年代:1969

数据来源: WILEY

摘要:

SUMMARY1A simple comparison of vital statistics of suicide has many biases. For example, 3.1% of the cases submitted for autopsy by the Tokyo Municipal Medical Inspection Office were difficult to attribute to suicide or accident from the legal medical standpoint. Such cases as those of children or severely psychotic patients were sometimes almost impossible to determine. Many suicides were hidden by the victims themselves or by their families, largely because of the shame associated with the act of suicide. Notwithstanding these biases, the writer carried out an epidemiological analysis of the statistical materials of suicide to discern the characteristics of suicide in Japan. By the writer's epidemiological analysis, it is believed possible to discern the characteristics of suicide in Japan and compare them with those of other countries, notwithstanding the abovementioned biases. This is because any errors could be expected to be randomized.2There are more difficulties in collecting reliable data on attempted suicide than completed suicide. The writer's survey in a city near Tokyo with 150,000 population in 1959 showed that only 92 cases of attempted suicide against 231 cases of completed suicide over a period of 8 years were obtained, notwithstanding the support of private practitioners, hospitals, health centers, and city police. However, the pattern in the attempted suicide rate of high rate in youth, low rate in the aged and higher rate in female than male, as compared with completed suicide data coincided with that for attempted suicide reported by many reliable statistics in Europe.3In this sense, it is notable that the rate of completed suicide in Japan during the last 10 years, particularly that for youth, has declined greatly. One of the characteristics of suicide in Japan, rising in youth, declining in thethe middle aged and rising in the aged, which was the same as that in Taiwan, has begun to change to the Western pattern increasing almost parallel with age.4The ratio of female‐male suicide rates in Japan has risen during the past 10 years, in particular the ratio of the aged, as conipared with that among those of youth, which has declined. Consequently, the writer presumed that the fluctuation of completed suicide rates in age and sex are mainly influenced by the change of those rates and ratio in the youth of 15—25 and the aged over 65.5It was suggested that in pre‐World War II times, a kind of altruistic suicide still existed in Japan, but after the war the number of anomic suicides increased to a peak in 1955‐58, and both types of suicide have decrcased since 1958.6The suicide curve in Japan has been found to fluctuate with the business cycle and war; it rose in prewar time (1913, 1934) and serious depression (1932) and declined in wartime (1906, 1943) and prosperity (1917, 1960). The rise of suicide rates from 1944 to 1958 was probably connected with the financial, moral and political anomie of the postwar times. The decline of suicide rates since 1958 might be closely connected with not only financial, moral and political stability but also with the change of expressing aggression, in particular among the youth, i.e. transfer from intropunitive to extrapunitive responses. The statistics of the Young Adult and Juvenile Section of the Japanese Ministry of Justice showed that the rates of juvenile offenders decreased. It also showed that the proportion of juvenile offenders has overcome that of adult offenders since 1958 and the younger the age, the more marked the rise.7As regards the relationship between suicide and homicide, a direct relationship between suicide and homicide in the past 10 years in Japan might confirm the hypothesis that obligatory altruistic or fatalistic suicide is decreasing and anomic suicide is declining after a long rise.8Although two surveys on suicide‐rates in Hawaii by Drs. Tyree and Kalish showed different data by ethnity, those rates in Japanese Hawaiian were low in youth and high in old age. The writer interpreted these data as follows: although the Japanese issei showed the same high suicide rate as Japanese Nationals, the low rate of suicide in youth might suggest that not only the suicide rate among Japanese‐Hawaiians but also that of Japanese Nationals will become similar to the Western type in

ISSN:1323-1316    

DOI:10.1111/j.1440-1819.1969.tb02882.x

出版商:Blackwell Publishing Ltd    

年代:1969

数据来源: WILEY

ISSN:1323-1316    

DOI:10.1111/j.1440-1819.1969.tb02883.x

出版商:Blackwell Publishing Ltd    

年代:1969

数据来源: WILEY

ISSN:1323-1316    

DOI:10.1111/j.1440-1819.1969.tb02884.x

出版商:Blackwell Publishing Ltd    

年代:1969

数据来源: WILEY