Diseases of the nervous system - a text-book of neurology and psychiatry (1915) (14779759881)

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:

hypertrophic cervical pachy-meningitis, which have been described by Joffroy and Charcot, and toKahlers disease. The anterior horns may be predominantly involved usually, however,as a result of a transverse myelitis (Nonne) giving the picture of ananterior poliomyelitis. CONGENITAL OR HEREDITARY SYPHILIS 577 In hypertrophic cervical pachymeningitis one finds an enormousthickening of the meninges, with or without gummata, and locatedin the cervical region. Here root and compression symptoms arepresent. Pains in the neck and shoulder, stiffness of the cervicalspine, shooting pains down the arms. Sensory loss may then show,particularly to pin prick, with relatively intact sensibility to cotton-wool. The ulnar and median are particularly implicated. Fibrillarycontraction of the muscles, atrophy and loss of electrical excitabilityoccur. The special type of deformity known as preacher-hand is oneof the frequent expressions of the involvement of the brachial plexusin the cervical meningitis.

Text Appearing After Image:

Fig. 298.—Pachymeningitis hypertrophica cervicalis. CONGENITAL OR HEREDITARY SYPHILIS. Effect of Hereditary Syphilis. Serological studies have thrown muchlight on the question of the mode of transmission. This cannot beentered upon here. These studies as particularly carried out by Plant,Mott, and others have shown the enormous importance of transmittedsyphilis in the pernicious effects upon the nervous system. Linser,moreover, has shown that two-thirds of the children of syphiliticparents show a positive Wassermann reaction, although much fewershow signs of congenital syphilis. It may be recalled that Fournier stated the proportion as high as98 per cent., and that 68.5 per cent, of the children died. This does37 578 SYPHILIS OF THE NERVOUS SYSTEM not include the aborted offspring. Should these be reckoned, onecould obtain a true idea of the morbidity of syphilis in the young.Hochsinger reports an interesting group of cases in this connection.In 72 families there was paternal syphil

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1915

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