Diseases of the nervous system - a text-book of neurology and psychiatry (1915) (14596209289)
Summary
Identifier: diseasesofnervo00jell (find matches)
Title: Diseases of the nervous system : a text-book of neurology and psychiatry
Year: 1915 (1910s)
Authors: Jelliffe, Smith Ely, 1866-1945 White, William A. (William Alanson), 1870-1937
Subjects: Mental Disorders Nervous System Diseases
Publisher: Philadelphia : Lea & Febiger
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons
Text Appearing Before Image:
Fig. 260.—Pseudobulbar palsy fromsyphilitic disease. (Tilney.) PARESIS 533 as the nervous system is concerned. Many ingenious hypotheseshave been formulated with the purpose of explaining the differencesbetween paresis and tabes, on the one hand, and other forms of nervoussyphilis, secondary or tertiary, on the other. It would serve littlepurpose to enumerate them in detail, since none has as yet compelledconviction.
Text Appearing After Image:
Fig. 261.—Cerebral_ syphilis (arterial type) with softening. Aphasia, hemiplegia,advancing dementia. (Lafora.) To return to the syphilitic etiology of paresis. It is practicallyconceded no syphilis, no paresis. One is not speaking now of thosefew individuals who, either because of the presence of brain tumor,or the existence of arteriosclerosis, or of other cerebral disorder, showa close clinical resemblance to paresis. Finally the findings by Moore and Noguchi of Treponema paUidumin twelve of seventy paretic brains serve to render more certain therelationship of the organism to the disease. But syphilis does not by any means necessarily lead to paresis, for- 534 SYPHILIS OF THE NERVOUS SYSTEM tunately. The most recent studies of Mettler show that about 2 percent, of those infected by syphiHs develop paresis. A considerablylarger percentage develop cerebrospinal syphilis—how large, can onlybe surmised.