NEUROLOGICAL AND ELECTROENCEPHALOGRAPHIC ABNORMALITIES IN RHEUMATIC FEVER

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Abstract
A clinical and electroencephalographic study in 30 patients with rheumatic fever was made. Abnormal EEG (electro-encephalograph) records were obtained in 13 of the 20 patients with active disease and in 3 of 10 patients with inactive disease. In 11 cases, the EEG abnormality was the only evidence of neurological involvement. Focal, diffuse and convulsive records were obtained. In 8 patients the electroencephalogram improved or became normal within 3 weeks to 8 months after onset of illness, in 5 coincident with clinical improvement. Pathological abnormalities previously described in the brain of patients with rheumatic fever were felt to provide ample basis to account for the abnormalitis noted in the electroencephalogram. The present series of cases emphasizes the frequency of neurological involvement in rheumatic fever.

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