http://exhibits.library.stonybrook.edu/mfp/files/original/3eab4c46b908be7f375c8d734a35286f.pdf 5042799a3f734f3c63f01b0f76f9a5e6 PDF Text Text .. “n.7,, ,_ , ,v .7...” ”w . J... WWMWM, q... . «fin. December 20. l967 rum-v—w—rfim'. Dr. William Karliner- Franklin Rodd Scarsdale, New York 20 s’vryvp...— www.my—m—V : .. .x- AFTIW '.'V‘-—U~ww-VII" Bill, Dear Miss Harriet Bernstein, age 39, was seen at Gracie Square Hospital on December 9 and in our EEG laboratory on December l9. At Gracie Square she presented a mild organic mental syndrome, moderate to severe depressive state and evidence of barbiturate intake. She was mildly ataxic, labile and her Speech was slurred. 5-1 min—va-"mw‘ when seen on December l9, she was no longer ataxic nor did she have nystagmus. The mental syndrome had been relieved and she appeared anxious. tense and depressed. She had a pressure of speech. The electroencephalogram (#039) was symmetric without evidence of a focus. The rhythms were highly irregular with mixed theta, alpha and a moderate degree of high voltage beta activity. The beta activity did not appear in-spindles or runs. The frequency of theta activity was 5-6 cycles per second, with amplitudes between 40 and 80 microvolts. The record was filled with eye blinks artefacts despite manual control. hyperventilation was repeated three times and on the first she exhibited a two Second burst of 200~250-microvolts. trials two activity. with spikes. These were symmetric and occurred In the succeeding twenty seconds there were random S~6 cps higher voltage (100 uv) runs. .5 cps after 80 seconds of hyperventilation. This record gives evidence of continuous, generalized cerebral dysfunction. The presence of spike and is consistent with cerebral dysrhythmia. wave bursts on hyperventilation Recommendation: In view of the history, we cannot exclude the possibility that the dysrhthmia is related to previous convulsive treatment, although the probability is Very small. With this in .mind I would suggest that she be continued on Oilantin treatment and that the depressive state he treated with imipramine. If imipramine is given rapidly in the hospital setting, we will know if dysrhythmia is enhanced.,if the EEG is repeated when she is stabilized at your . average imipramine dose. Thank you for the opportunity.25chee/7i7flxoSee7fldrV’ ' SinCerely yours, Fink, M.D. Professor of Psychiatry Max . Mszp . � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Correspondence Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Correspondence to: Karliner, William Type The nature or genre of the resource Text Identifier An unambiguous reference to the resource within a given context mfp-05-00-021-9-543 Date A point or period of time associated with an event in the lifecycle of the resource 1967 Creator An entity primarily responsible for making the resource <a title="Fink, Max, 1923-" href="http://id.loc.gov/authorities/names/n79039548" target="_blank">Fink, Max, 1923-</a> Subject The topic of the resource Correspondence -- Correspondence Relation A related resource The Max Fink Collection Description An account of the resource Rights Information about rights held in and over the resource <a title="IN COPYRIGHT - EDUCATIONAL USE PERMITTED" href="http://rightsstatements.org/vocab/InC-EDU/1.0/" target="_blank">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a> Source A related resource from which the described resource is derived Special Collections and University Archives, University Libraries. Stony Brook University Libraries (State University of New York). Language A language of the resource en-US Format The file format, physical medium, or dimensions of the resource application/pdf Publisher An entity responsible for making the resource available Contributor An entity responsible for making contributions to the resource Correspondence