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

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