CYCLIC MANIFESTATIONS IN THE SLEEP CURVES OF PSYCHOTIC PATIENTS

摘要: Stiefler,1 in 1926, described the case of a man, aged 39, who had survived an eight-day attack encephalitis epidemica and under treatment made almost complete recovery, when suddenly he began having periods great restlessness wakefulness lasting for two or three days, alternating with equal sleepiness general sluggishness. Stiefler thought that this peculiar cyclic change every fifth sixth day might be related some way to pathologic condition inverted sleep (Pfaundler 2), usually found shown at one time by patient. Campbell,3 1927, called attention youth, 19, also suffered from showed regular six-day cycle behavior. Every days year preceding Campbell's report youth fallen into deep which could not aroused; was followed period length during which, contrast Stiefler's patient, overt activity normal. Marked fluctuations pulse rate body temperature were observed. The varied 40 per minute 120 140 normal ; 36 36.4 C. (from 96.8 97.5 F.) 37.2 37.4 98.9 99.3 free intervals. During phase patient took no food, bladder bowel movements, assumed postures. It seems surprising such rhythm behavior has been observed many times before. That it must occur fairly frequently is fact review several hundred histories Phipps Psychiatric Clinic, patients similar their stay hospital. REPORT OF CASES Case 1.—E. R., woman, 30, whose diagnosed as "constitu¬ tional inferiority hypomanic features," cycles four excited sluggish twelve months, spent clinic. changes can seen clearly chart (C) hours indicated ordinates abscissas. vary nine phases. This gave history encephalitis. She purpura haemorrhagica age 10, after she marked