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                  <text>April

l5, l968

Dr. William Karliner

Franklin Road
Scarsdale. New York
20

Dear 8111,
A

repeat

EEG

was done on Miss

Harriet Bernstein

on April 4,

According to your note she has been receiving
Dilantin 400 mg. Tofranil 100 mg and Vivactil 20 mg/day.
(#409-M).

This record shows spontaneous seizure activity, high
voltage persisting for one to three seconds. The waves are
high voltage 3 to 4 per second with intermittent single spikes,
amplitudes exceeding 250 microvoltsJiith hyperventilation end
the seizure activity is enhanced. The background record is
filled with S to 7 cps activity with superimposed l8 to 24 cps.

is

In comparison to her

earlier records seizure activity
activity slower.

more prominent and the background

Im ression: This combination of drugs does not ordinarily
produce seizure activity. although reports of such activity after
imipramine are available. These reports are primarily in patients
with a seizure history.

The experience of seizures after convulsive therapy is
I would believe that such seizures would decrease with time

limited.

if

they are related to the induced convulsions. with these ideas
in mind. I would suggest that Hiss Bernstein’s seizure activity
is probably related to a process other than the induced convulsions
and also other than her present drug treatment.

�Dr. Karliner

~2-

April l5. l968

If her behavioral state has improved, then perhaps these
drugs should be discontinued. If she still is depressed, than
they probably should be continued despite the EEG record.
I

Thank you very much for the opportunity to see her again.
look forward to seeing you at Gracie Square.

Sincerely yours.
Fink, M.D.
Professor of Psychiatry

Max

Mszp
P.S. Dr. Paul Blachly is visiting me on Saturday. Mayll I
understand this is your usual working day and perhaps you could
set aside a few minutes to chat with us.

�</text>
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              <text>Correspondence to: Karliner, William</text>
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            <elementText elementTextId="33317">
              <text>1968 </text>
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              <text>Special Collections and University Archives, University Libraries. Stony Brook University Libraries (State University of New York).</text>
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