Abstract

The manifestations of epidemic encephalitis in children have received attention in this and other countries, and it has been our privilege in the Mayo Clinic to see nearly all the features described by other observers. However, one syndrome in children, which was presented to us more forcibly than the other more common disturbances of function, was a disturbance of the respiratory rhythm and depth, persisting many months after the initial phase of the disease had passed. Seven children and one adolescent came to the Mayo Clinic during the last half of 1921 and the first half of 1922, manifesting, besides the characteristic disturbance of the respiratory function, the now well recognized intractable insomnia and metamorphosis of character seen in children who have had epidemic encephalitis. Six of the patients dated their illnesses from the first three months of 1920. Disturbances in respiration during the acute stages of encephalitis. have already

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