RELIEF OF DIAPHRAGMATIC TIC, FOLLOWING ENCEPHALITIS, BY SECTION OF PHRENIC NERVES

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Abstract
The case here reported presents the following features of interest: (1) the occurrence of rapid spasmodic contractions of the diaphragm following an illness that seems to have been encephalitis; (2) the absence of thoracic breathing during the attacks; (3) the production of pain in the scapular region by faradic stimulation of the ipsolateral phrenic nerve; (4) the restoration of the respiration to the thoracic type and to a normal rate following division or blockade of both phrenic nerves, and (5) the apparent absence of unfavorable symptoms following bilateral section of the phrenic nerves. REPORT OF CASE History. —Mrs. L. E. W., a white woman, aged 67, referred by Dr. Groesbeck Walsh of the Employees Hospital, Fairfield, Ala., was admitted to the Piedmont Hospital, Nov. 20, 1925. The family history was unimportant. At the age of 47, the patient had had a severe attack of measles causing her to be bedridden

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