Hostname: page-component-586b7cd67f-gb8f7 Total loading time: 0 Render date: 2024-11-27T18:54:35.067Z Has data issue: false hasContentIssue false

The late effects of necrotizing encephalitis of the temporal lobes and limbic areas: a clinico-pathological study of 10 cases

Published online by Cambridge University Press:  09 July 2009

R. Hierons*
Affiliation:
Brook General Hospital, London, Departments of Neuropathology, Institute of Psychiatry, London, Runwell Hospital, Wickford, Essex
I. Janota
Affiliation:
Brook General Hospital, London, Departments of Neuropathology, Institute of Psychiatry, London, Runwell Hospital, Wickford, Essex
J. A. N. Corsellis
Affiliation:
Brook General Hospital, London, Departments of Neuropathology, Institute of Psychiatry, London, Runwell Hospital, Wickford, Essex
*
1Address for correspondence: Dr R. Hierons, Department of Neurology, Brook General Hospital, Shooters Hill Road, London SE18 4LW.

Synopsis

The clinical and neuropathological features are reported of 10 patients who had suffered, usually for several years, from the after effects of an acute or sub-acute necrotizing encephalitis of the limbic grey matter and of the adjacent temporal lobes. Emphasis is laid on the memory disturbance and on the behavioural and emotional aberrations that tended to occur and that are in some ways reminiscent of the Klüver–Bucy syndrome.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1978

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Angevine, J. B. & Yakovlev, P. I. (1964). Limbic nuclei of thalamus and connections of limbic cortex. Archives of Neurology 10, 165180.Google Scholar
Bechterew, W. V. von (1900). Demonstration eines Gehirns mit Zerstörung der vorderen und inneren Theile der Hirnrinde beider Schläfenlappen. Neurologisches Zentralblatt 19, 990991.Google Scholar
Bogaert, L. van, Radermecker, J. & Devos, J. (1955). Sur une observation mortelle d'encéphalite aiguë nécrosante. Revue neurologique 92, 329356.Google Scholar
Brindley, G. S. & Janota, I. (1975). Observations on cortical blindness and on vascular lesions that cause loss of recent memory. Journal of Neurology, Neurosurgery and Psychiatry 38, 459464.CrossRefGoogle ScholarPubMed
Broca, P. (1878). Anatomie comparée des circonvolutions cérébrales. Revue D'Anthropologic series 3, 1, 385455.Google Scholar
Corsellis, J. A. N., Goldberg, G. J. & Norton, A. R. (1968). Limbic encephalitis and its association with carcinoma. Brain 91, 481496.CrossRefGoogle ScholarPubMed
DeJong, R. N., Itabashi, H. H. & Olson, J. R. (1969). Memory loss due to hippocampal lesions. Report of a case. Archives of Neurology 20, 339348.CrossRefGoogle ScholarPubMed
Drachman, D. A. & Adams, R. D. (1962). Herpes simplex and acute inclusion-body encephalitis. Archives of Neurology 7, 4563.CrossRefGoogle ScholarPubMed
Friedman, H. M. & Allen, N. (1969). Chronic effects of complete limbic lobe destruction in man. Neurology 19, 678690.CrossRefGoogle ScholarPubMed
Gascon, G. G. & Gilles, F. (1973). Limbic dementia. Journal of Neurology, Neurosurgery and Psychiatry 36, 421430.Google Scholar
Haymaker, W. (1949). Herpes simplex encephalitis in man—with a report of three cases. Journal of Neuropathology and Experimental Neurology 8, 132154.CrossRefGoogle ScholarPubMed
Heathfield, K. W. G., Pilsworth, R., Wall, B. J. & Corsellis, J. A. N. (1967). Coxsackie B5 infections in Essex, 1965, with particular reference to the nervous system. Quarterly Journal of Medicine 36, 579595.Google ScholarPubMed
Klüver, H. & Bucy, P. C. (1938). An analysis of certain effects of bilateral temporal lobectomy on rhesus monkey with special reference to psychic blindness. Journal of Psychology 5, 3354.CrossRefGoogle Scholar
Malamud, N. & Hirano, A. (1974). In Atlas of Neuropathology (2nd edn). University of California Press.Google Scholar
Papez, J. W. (1937). A proposed mechanism of emotion. Archives of Neurology and Psychiatry 38, 725743.CrossRefGoogle Scholar
Petit-Dutaillis, D., Christophe, J., Pertuisset, B., Dreyfus-Brisac, C. & Blane, C. (1954). Lobectomie temporale bilaterale pour epilepsie. Evolution des perturbations fonctionelles post-operatives. Revue neurologique 91, 129133.Google Scholar
Rose, F. C. & Symonds, C. P. (1960). Persistent memory defect following encephalitis. Brain 83, 195212.CrossRefGoogle ScholarPubMed
Scoville, W. B. (1954). The limbic lobe in man. Journal of Neurosurgery 11, 6466.CrossRefGoogle ScholarPubMed
Terzian, H. & Ore, G. D. (1955). Syndrome of Klüver and Bucy reproduced in man by bilateral removal of the temporal lobes. Neurology 5, 373380.CrossRefGoogle Scholar
Treviranus, G. R. (1820). Vermischte Schriften. Bremen.Google Scholar
Victor, M., Angevine, J. B. Jr, Mancall, E. L. & Fisher, C. M. (1961). Memory loss with lesions of hippocampal formation. Archives of Neurology 5, 244263.CrossRefGoogle ScholarPubMed