ผู้วิจัย/Authors: Chantana Sukawat
ชื่อเรื่อง/Title: ๋The Correlation between E.E.G. Blood Sugar and Signs and Symptoms During Insulin Shock Treatment.
แหล่งที่มา/Source: Journal of The Psychiatric Association of Thailand, Vol. 1, No 1, January 1956, Page 12-58
รายละเอียด / Details:
A study of ten selected schizophrenic cases treated schizophrenic cases treated with insulin shock was repoted. The cases were studies on the basis of Hughlings Jackson's Theory of Phyletic regression, and om knowledge of the effects of insulin on carbohydrate metabolism of the brain and its functionduring stages of hypoglycaemia in order to find out the correlation with the neurological signs and symptoms during the shoch treatment. An attempt was also made to fine some clinical criteria which enable us to predict complications during insulin shock treatment of some patients. The procedure was; a) Recording blood samples for blood sugar analysis in the beginning at 30 minute intervals, and when the shock started at 15 minute intervals until the end of the shock From this series we might divide the patients into different groups, according to their signs symptoms and the correlated findings of E.E.G. and blood sugar level. They are : Group I: Patients with overactivity of sympathecti through the whole period of hypoglycaemia could not stand the shock until the premyelencephalic phase. Two of them showed cardiac condition; one showed signs of cardiac decompensation. One case had servere projectile vomiting. These complication began during the mesencephalic phase. Group II : Patients who showed anxiety and high tension were very sebsitive to stimulation, showed signs of sympathetic overactivity and had delayed cortical phase, as shown in our investigation this stage slone took four and half fours. Accompanying the delayed clinical progress, the oc-wave recurred throughout those hours. Group III : Patients with E.E.G. showed very low voltage, b-band and impaired liver function showed atypical manner of shock. One case passed through the myelencephalic phase in two hours They did not lose contact with environment until the end of subcortico-diencephalic phase. The recovery period was prolonged to two hours and twentyfive minutes. Group IV : Patients belonging to this group showed typical signs and symptoms during different stages of the shock. A point of interest was that the patients of this group showed good compensation between sympathetic and parasympathetic. It was also notients that the blood sugar of these patients was raised in the late phase of subcortico-diencephalic stage. The blood sugar showed considerable good correlation with E.E.G. during the first two stages but from the third stage on we encountered poor correlation. The results were encouraging for further study.
Keywords: hypoglycaemia, schizophrenia, insulin shock treatment,
Address: The psychiatric association of thailand.
Country of publication: Thailand.
Category: Abstract Journal.