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• W1990663648 abstract "Artificial hyperthermia has been employed with increasing frequency in the treatment of various neurologic disorders. There are numerous observations on the biochemical alterations during artificial hyperthermia, but hardly any note has been made of the neurologic manifestations. Reports in the literature of post¬ mortem observations on patients succumbing during or shortly after hyperthermia have demonstrated that there are profound neuropathologic changes which explain the neurologic signs and symptoms appearing during the treatment. Recently, at the Neurological Institute of New York, attention was focused on the transitory neurologic changes which occurred in a patient with multiple sclerosis during electropyrexia. A white man aged 21 received eleven treatments in the vapotherm, during each of which the temperature was elevated to 104 F. for three hours. During the sixth and seventh treatments he complained of numbness in both hands, and during the eighth, of a sensation of pins and needles in the hands and feet. These dysesthesias increased until, during the tenth and eleventh treatments, there developed paralysis in all four extremities. Between treatments the symptoms receded. Examination during the eleventh treatment showed : flaccid paralysis of the legs and arms ; complete anesthesia to all modalities in the legs up to and including the twelfth thoracic dermatome, with the exception of the third, fourth and fifth sacral areas, over which there was partial preservation of superficial sensation ; complete anesthesia to all modalities in the arms between the fifth cervical and the second thoracic dermatome ; complete areflexia of the arms and legs; diminished abdominal reflexes, and a positive Babinski sign (not previously present) on the left. The temperature was allowed to drop and within forty-five minutes reached 99 F. Neurologic examination showed partial return of motor power in all extremities, the proximal joints showing more strength than the distal. Deep sensation had returned to the pretreatment state, but there was still definite hypesthesia to superficial stimulation. Reflexes had returned almost to the pre¬ treatment status. The Babinski sign had disappeared. That night the patient was up and felt well. On examination his status was found to have returned to the pretreatment level. For fear of producing irreversible neurologic changes, hyperthermia was discontinued, and he was discharged on May 28, 1938. When seen on August 9, he stated that he was feeling fine, that vision had improved considerably, that the numbness had disappeared from his hand and that his gait was much improved. During a preceding two weeks of hot, humid weather he said that his symptoms had recurred, but they disappeared with cooler weather. Further examination on September 9 revealed a status similar to that on admission except for more marked difficulty in gait and a positive Romberg sign. The literature is silent on transitory neurologic changes during artificial hyper¬ thermia. Occurrence of such changes during hyperthermia from malaria and other biologic agents has been reported. However, in these reports there are to be considered the factor of the infectious agent and its effect on the nervous system." @default.
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• W1990663648 date "1939-07-01" @default.
• W1990663648 modified "2023-09-27" @default.
• W1990663648 title "NEW YORK ACADEMY OF MEDICINE, SECTION OF NEUROLOGY AND PSYCHIATRY" @default.
• W1990663648 doi "https://doi.org/10.1001/archneurpsyc.1939.02270190172012" @default.
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