Читать книгу Neurosyphilis. Modern Systematic Diagnosis and Treatment Presented in One Hundred and Thirty-Seven Case Histories онлайн
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Among the causes of this condition the following have been mentioned: cold, overexertion, alcoholism, tuberculosis and syphilis. Syphilis undoubtedly plays the major part. Even before the days of the W. R., observers, among whom may be mentioned Dejerine-Tinel and Pförringer, discovered syphilis in nearly all sufferers from pachymeningitis cervicalis hypertrophica.
It should be differentiated from caries of the spine and cord and meningeal tumors. The spinal fluid examination makes this somewhat easy.
Antisyphilitic remedies are indicated, and should be tried even when the etiology is obscure, if only as a therapeutic test.
But what have been thy answers? What but dark,
Ambiguous, and with double sense deluding,
Which they who asked have seldom understood,
And, not well understood, as well not known?
Paradise Regained, Book I, lines 434–437
II. THE SYSTEMATIC DIAGNOSIS OF THE MAIN FORMS OF NEUROSYPHILIS
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PARETIC NEUROSYPHILIS (“general paresis”) sometimes persistently receives the diagnosis NEURASTHENIA simply through omission to apply approved diagnostic methods.