Diseases of the nervous system - a text-book of neurology and psychiatry (1915) (14782542532)

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:

e cerebrospinal fluid toward the Wassermannreaction, it being often negative in vascular syphilis and positive inparesis. While this is not an absolute differentiation and larger dosesof the serum may produce the positive reaction, it is stiU, however,one of the most important differentials. It has to be remembered, too,that some cases of paresis are found with negatively reacting fluid,and rarely cases of lues with positively reacting fluid. 3. Paranoid Forms Combined with Tabes.—In this group are foundpatients who do not show any considerable deterioration, but presentideas of persecution with numerous auditory hallucinations over aconsiderable period of time. There is no self-reproach, they remainlively and affable, and what seems to be peculiar, present markedhallucinations of common sensibility accompanied by phantastic ideas. SYPHILITIC PSYCHOSm 553 4. Paranoid Forms Without Tabetic Symptoms.—In this group arefound paranoid ideas combined with auditory halhicinations, rather

Text Appearing After Image:

Fig. 276.—Devastation of cortex in paresis. (Kraepelin.) resembUng the alcohoHc halhicinoses. A pronounced delusion of jeal-ousy was present in one case described by Plaut. They have to be 554 SYPHILIS OF THE NERVOUS SYSTEM separated from manic-depressive psychosis and particularly from de-mentia precox. The separation from the latter is made from the absenceof catatonic signs and failure to develop marked evidences of defect. 5. Certain Epileptic Forms.—These appear to be due to the endar-teritic changes in the small cortical vessels and may be combined withparalytic phenomena which develop as a result of the participation ofthe larger vessels in the disease process. The cases resemble veryclosely genuine epilepsy and must be differentiated by the neurologicaland serological findings. A case described by Plant showed transitorydream states. 6. Short Hallucinatory Confused States.—^These resemble the con-fusions associated with the epileptic forms, and the French haveconsidered

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1915

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