Vilensky Joel A, Mukhamedzyanov Ravil Z, Gilman Sid
Department of Anatomy and Cell Biology, Indiana University School of Medicine, Fort Wayne, IN 46805, USA.
Eur Neurol. 2008;60(3):113-21. doi: 10.1159/000144080. Epub 2008 Jul 14.
Although encephalitis lethargica (EL) appeared in epidemic form in the Soviet Union during the 1920s as it did in most of the world, the Western literature, particularly English, contains little information about the manifestations of the disease there. Here we summarize articles by prominent Russian neurologists who wrote about the disease as they viewed it during the epidemic period. As in the West, Russian clinicians found EL to be remarkably polymorphic, although some signs and symptoms, especially those pertaining to the psychological aspects of the disease, seemed to be more prevalent or were described better and perhaps more frequently by these clinicians. Some Russian clinicians emphasized an increased prevalence of EL among Jews and a relationship with illness and trauma, whereas others found strong evidence for contagion, especially in rural areas.
尽管20世纪20年代昏睡性脑炎（EL）在苏联以流行病的形式出现，就像在世界上大多数地区一样，但西方文献，尤其是英文文献，几乎没有关于该病在苏联表现的信息。在此，我们总结了俄罗斯著名神经学家在疫情期间撰写的关于该病的文章，他们描述了自己对该病的看法。与西方一样，俄罗斯临床医生发现EL具有显著的多态性，尽管某些体征和症状，尤其是与该病心理方面有关的体征和症状，似乎更为普遍，或者这些临床医生对其描述得更好、或许更频繁。一些俄罗斯临床医生强调EL在犹太人中发病率较高，且与疾病和创伤有关，而另一些人则发现了传播的有力证据，尤其是在农村地区。
