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Psychosomatic Medicine 16:56-66 (1954)
© 1954 American Psychosomatic Society

Diaphragmatic Flutter as a Manifestation of Hysteria

J. B. HARRIS M.D.1, H. E. HOFF M.D.1, and R. A. WISE M.D.1

1 Veterans Administration Hospital Houston, Texas Departments of Medicine and Physiology, Baylor University College of Medicine Houston, Texas

Two cases of diaphragmatic flutter are reported. The first case has been cited frequently in the lay and medical press since 1936; the second is a 31-year-old colored male veteran.

Records obtained in the second case show a diaphragmatic flutter at rates from 150 to 240 per minute, which disappeared briefly during normal inspiration and throughout forced inspiration only to return during expiration. The condition was intensified during forced expiration.

Evidence is offered in support of the view that in both cases the condition is of hysterical origin, and, in the second case, probably directly associated with the patient's sexual impotence.

Submitted on April 7, 1952






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Copyright © 1954 by the American Psychosomatic Society