Neurotic Disorders as Early Symptoms of Multiple Sclerosis
DOI:
https://doi.org/10.5644/Radovi.49Abstract
Neurotic phenomena appearing as early symptoms of multiple sclerosis were studied and searched in 49 cases of the history of disease.
Out of this number of patients it was found that 26 of them had neurotic disorders, 11 being affected by neurasthenic phenomena, 3 cases in the form of depression, 5 in the form of psychoneurosis, and 3 others in the form of organic neurosis. Beside these there were 2 cases treated for a longish period in (hospital) ambulances from neurotic disorders, after which symptoms of multiple sclerosis had appeared. In three cases there existed pain of thallamopathic character. The duration of these disorders, which could be ascertained only in some cases, amounted mostly to some few months; in case of 4 patients from 1 to 2 years, and in case of one patient over 5 years.
The explanation of these disorders, which appeared before the organic ones and which consequently did not belong to exogenous reaction type of Bonhoffer, is to be found in brain resistance against damaging and compensation. That compensation relating to organic changes in the brain at first alternates according to neurotic disorders appearing as first phenomena of decompensation. Why those phenomena appear only in a smaller number of cases, is explained by constitutional qualities of patients and by structure of their personalities. Besides, some part is played by affective moments analogous to the influence they have in affective epilepsy and chronical encephalitis, where by lessening compensation they lead to manifest disorders as first phenomena of decompensation.
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