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                  <text>WW.

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x

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mm.

“Mm.

vam-

m.

7“ mymw-wm.mmuwm w..."- mw...-n-—.

1...

.«w—n. wan-mun.“

.

-

‘ww‘F/W p":- w- n WWI-P. «nun-1w. -.v..——v-—.~
x

4»/
November 21, 1977

Nathan 8. Kline, M.D.
Rockiend Research Institute
Orangeburg, New York 10962
Deer Nate,

read the file on Dr. Vacant G. Joehi with some interest. As
observations, it is that INH plus Vitamin B6 served to
case of catatonia. The patient had two EEG records done,
receiving INH. There was a remarkable change in the EEG,
characterized by the appearance of generalized, dominant slow theta activity
which became more intense with hyperventilation. Dr. Joshi notes that he
has used.the combination in other schizophrenic patients with success.
I am not surprised by his report. It is consistent with two sets of
data. The response of catatonic patients is notoriously rapid when any change
is induced in the CNS. Thus, barbiturates, amphetamines. and BCT have each been
successfully used in catatonia. The most interesting is the latter, A recent report
by Breakey and Kala (British Medical Jounnal 2: 357~359, 1377) finds that
ECT-wcs remarkably successful in relieving more than a dozen cases of catatonia
after typhoid fever. The predominant finding in ECT in the EEG is the development
of high voltage slow waves in the theta range which are responsive to hyperventI have
I understand his
relieve a single
before and while
.-

.

ilation.

The other observation is that of the association of EEG and behavior
after psychoactive drugs. It is clear that any compound that alters brain function
witl show its effects in the EEG, and when such effects are observed by clinicians,
the EEG patterns will be clear and will follow predictable patterns. Dr. Joshi's
paper suggests that the high doses of INH which he is using do have an effect on

the

EEG

similar to

BC?

or antidepressant drugs.

It is not possible for us to corroborate Dr. Joshi's findings. We
could cooperate with other clinicians whb wish to duplicate his observations

by carrying out the EEG analyses on records collected in another site, if the records
are collected on tape compatible with our recorders. We also lack the funds
for a research fellowship at this time, although
is possible that you and the
other Research Directors may be making funds for fellowships available.

it

and I

for the opportunity to read this interesting communications
congratulate Dr. Joshi on his fine observations.
Thank you

Sincerely yours,
Max Pink, M.D.
Professor of Psychiatry

w—n—u—

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