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Further, Knauer reports that even at the height of post-rheumatic stupor, external stimuli make some impression, in that a thoughtful facial expression appears. In deep stupors, such as occurred in our series, this response is not seen. The same phenomenon of “rousing,” larval in Knauer’s cases, is often well marked in encephalitis lethargica and is, of course, a pathognomonic symptom of delirium.
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