Читать книгу Neurosyphilis. Modern Systematic Diagnosis and Treatment Presented in One Hundred and Thirty-Seven Case Histories онлайн
21 страница из 85
(“cerebral arteriosclerosis,” “cerebral thrombosis”)
PARETIC NEUROSYPHILIS
(“general paresis”)
TABETIC NEUROSYPHILIS
(“tabes dorsalis”)
GUMMATOUS NEUROSYPHILIS
(“gumma of membranes, of brain”)
JUVENILE NEUROSYPHILIS
(paretic, tabetic, diffuse)
Chart 5
POSSIBLE INVOLVEMENT BRAIN AND CORD SYPHILIS [M]embranes, [V]essels, [P]arenchyma [MVP] EARLY, LATENT?, SYMBIOSIS?, ATTENUATION?.... MVP CEREBRAL, CEREBROSPINAL SYPHILIS, PARESIS MVP [M]VP PARESIS; SYPHILITIC ARTERIOSCLEROSIS VP M[V]P ?SYPHILOTOXIN FROM MENINGITIS MP MV[P] SYPHILITIC MENINGITIS; CEREBRAL OR CEREBROSPINAL SYPHILIS MV [MV]P SYPHILOTOXIC ATROPHY OR SCLEROSIS P M[VP] SYPHILITIC MENINGITIS M [M]V[P] SYPHILITIC ARTERIOSCLEROSIS V M, V or P in brackets [] means not involved. Chart 6NEUROSYPHILIS
SIX TESTS
BLOOD WASSERMANN
SPINAL FLUID WASSERMANN
SPINAL FLUID CYTOLOGY
SPINAL FLUID GLOBULIN
SPINAL FLUID ALBUMIN
SPINAL FLUID GOLD SOL
Chart 7
This case has been especially worked up and published by Dr. A. M. Barrett on account of the fact that the vascular lesions of the brain had produced a condition of pure word-deafness. Reference is made to the Journal of Nervous and Mental Disease, Vol. 37, 1910, for a complete description of the brain findings and an analysis of the word-deafness, a summary of which is as follows: