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THE INTERMITTENT FORMS OF DEMENTIA PRÆCOX
William Rush Dunton, Jr.
Am J Psychiatry 1910;67:257-278.
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Sheppard and Enoch Pratt Hospital, Towson, Md.

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Abstract

The cases of which abstracts have been given may be briefly summed up as to their course as follows:CASE I. At 18 years an attack of excitement lasting 9 months, followed by a remission of nearly 20 months, when there was another attack of excitement lasting 14 months, then a remission of 6 years, after which the final attack which has endured 9 years.CASE II. At 22 years an attack of excitement lasting about 6 months, followed by a remission of 5 years; another attack of excitement of 4 months, then a remission of 3 months; another attack of excitement of 4 months, a remission of 3 months; an attack of excitement of 8 months; a remission of 6 weeks, and then the final condition which required continuous hospital care until her death 2 years and 1 month later.CASE III. An attack of stupor or depression at 17 years lasting 6 months, a remission of 8 months; a second attack of depression lasting 9 months, a remission of 9 months; then a brief attack of excitement, and brief remission each lasting 3 or 4 months; another attack of depression and excitement which endured 13 months and which has been followed by a remission of nearly 4 years.CASE IV. A mixed attack at 25 years lasting about 1 year, followed by a remission of 1 month, after which an attack of excitement lasting about 1 year; then a remission lasting up to the present time, about a year and a half.CASE V. An attack of depression at 18 years lasting about 6 months, followed by a remission of 13 years; then an attack of excitement lasting about 6 months, a remission of 2 years and 6 months, and a final attack of excitement from which the patient is now convalescing.CASE VI. At 23 years an attack of excitement lasting about 6 months and followed by a remission of about six and a half years, after which there ensued a depressed or confused stage which is now in progress, but which I believe is the beginning of the terminal stage.CASE VII. At 22 a delirious attack lasting probably 3 months. A remission of 14 years, when at 36 there was an attack of mild excitement with delirious symptoms. About a year after the patient had a return of the same symptoms and is still in this attack.CASE VIII. An attack of brain fever at 20 lasting 6 months. At 43 an attack of excitement during the latter part of which catatonic symptoms were present. This attack lasted 2 years and 9 months, and was followed by a remission of 14 months. The next attack was also of excitement and lasted about 7 months. Then occurred a remission of 8 months, followed by an attack of excitement lasting 11 months, during which catatonic symptoms were present. After a remission of 9 months there was an attack of excitement of 4 months. At the present time, May 1, 1910, the remission has lasted 6 months.

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