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Section I. The Nature and Forms of Syphilis of the Nervous System (Neurosyphilis). Cases 1 To 8 | 17 |
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Case | | |
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1. | Paradigm: protean symptoms, nervous and mental. Autopsy, with meningeal, parenchymatous, and vascular lesions. | 17 |
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2. | Tabes dorsalis (tabetic neurosyphilis). Autopsy | 31 |
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3. | General paresis (paretic neurosyphilis). Autopsy | 37 |
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4. | Cerebral thrombosis (vascular neurosyphilis). Autopsy | 42 |
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5. | Juvenile paresis (juvenile paretic neurosyphilis). Autopsy | 45 |
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6. | Extraocular palsy (focal meningeal neurosyphilis). Autopsy | 50 |
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7. | Gumma of brain (gummatous neurosyphilis). Autopsy | 53 |
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8. | Meningitis hypertrophica cervicalis (gummatous neurosyphilis). Autopsy | 56 |
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Section II. The Systematic Diagnosis of the Forms of Neurosyphilis Cases 9 To 38 | 63 |
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Case | | |
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9. | Neurasthenia versus neurosyphilis | 63 |
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10. | Paretic neurosyphilis versus manic-depressive psychosis | 68 |
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11. | Neurosyphilis versus manic-depressive psychosis | 71 |
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12. | Dementia praecox versus neurosyphilis. Autopsy | 74 |
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13. | Neurosyphilis: negative Wassermann reaction (W. R.) of serum | 77 |
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14. | Diffuse neurosyphilis: six tests apt to run mild | 80 |
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15. | Paretic neurosyphilis: six tests strong | 85 |
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16. | Taboparesis (tabetic neurosyphilis): tests like those of paresis | 92 |
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17. | Paretic versus diffuse neurosyphilis: confusion re tests | 97 |
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18. | Vascular neurosyphilis: positive serum, negative fluid W. R. | 101 |
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19. | Seizures in diffuse neurosyphilis | 103 |
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20. | Seizures in paretic neurosyphilis | 106 |
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21. | Aphasia in paretic neurosyphilis | 111 |
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22. | Aphasia in paretic neurosyphilis | 115 |
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23. | Remission in paretic neurosyphilis | 117 |
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24. | Remission in diffuse neurosyphilis | 122 |
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25. | Paresis sine paresi | 126 |
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26. | Paretic neurosyphilis. Autopsy | 131 |
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27. | Gummatous neurosyphilis. Operation | 137 |
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28. | Extraocular palsy (cranial neurosyphilis) | 140 |
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29. | Tabes dorsalis (tabetic neurosyphilis): six tests apt to run mild | 141
Therapeutic improvement in tabetic neurosyphilis | 366 |
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111. | W. R. rendered negative in tabetic neurosyphilis | 367 |
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112. | Example of successful treatment of paretic neurosyphilis | 370 |
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113. | Another example | 372 |
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114. | Clinical recovery but tests persistently positive in treated paretic neurosyphilis | 375 |
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115. | Improvement delayed in treated paretic neurosyphilis | 377 |
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116. | Non-neural syphilis in treated paretic neurosyphilis | 380 |
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117. | Partial recovery in treated paretic neurosyphilis | 382 |
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118. | Laboratory signs improved: clinical situation stationary: treated paretic neurosyphilis | 384 |
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119. | Another example | 386 |
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120. | Failure of treatment | 388 |
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121. | Treatment, at first mild, later intensive | 390 |
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122. | Intensive treatment | 392 |
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123. | Syphilitic feeblemindedness improved by treatment | 395 |
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Section VI. Neurosyphilis and the War. | |
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| Cases A To N from British, French, and German Writers (1914–1916) | 399 |
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Case | | |
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A. | Tabes “shell-shocked” into paresis? (Donath) | 401 |
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B. | Latent syphilis “shell-shocked” into tabes? (Duco and Blum) | 403 |
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C. | Aggravation of neurosyphilis by service? (Weygandt) | 404 |
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D. | Aggravation of neurosyphilis by service? (Todd) | 406 |
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E. | Aggravation of neurosyphilis on service? (Todd) | 409 |
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F. | Duration of neurosyphilitic process important. (Farrar) | 411 |
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G. | Latent syphilis lighted up to paresis by war stress without shell-shock. (Marie) | 412 |
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H. | Paresis lighted up by “gassing”? (de Massary) | 414 |
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I. | Epilepsy in a neuropath lighted up by syphilis acquired at war. (Bonhoeffer) | 415 |
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J. | Syphilitic—after Dixmude epileptic. (Bonhoeffer) | 417 |
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K. | Syphilitic root-sciatica in a fireworks man. (Dejerine, Long) | 418 |
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L. | Paresis lighted up in civilian by domestic stress of the war. (Percy Smith) | 420 |
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M. | Shell-shock pseudoparesis. (Pitres and Marchand) | 421 |
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N. | Shell-shock pseudotabes. (Pitres and Marchand) | 424 |
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Section VII. Summary and Key | 427 |
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Appendices: | |
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A. | The six tests | 471 |
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B. | Common methods of
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