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Case 15.

Physically

Treatment

In any event, the treatment in this case proved unavailing. Enormous doses of salvarsan, twice a week, aided by mercury and potassium iodid, were given. Although other cases had been helped by such intensive treatment, Martiro went steadily downhill, nor was there the slightest diminution in the intensity of any of the spinal fluid reactions. After 50 injections of salvarsan over a period of 30 weeks without improvement, treatment was discontinued. A few months later, the patient died.

PARETIC NEUROSYPHILIS (GENERAL PARESIS)

PHYSICAL SYMPTOMS

EARLY HEADACHE

VISUAL DISORDER

HYPALGESIA

ADIADOCHOKINESIS

ATAXIA

NASOLABIAL FLATTENING

VOCAL CHANGE

SPEECH DISORDER

WRITING DISORDER

LOSS OF MANUAL DEXTERITY

PUPILLARY CHANGES

REFLEX CHANGES

SEIZURES

LATE: PARALYSIS, CONTRACTURE

Chart 9

PARETIC NEUROSYPHILIS (GENERAL PARESIS)

MENTAL SYMPTOMS

INTAKE IMPAIRED

CONSCIOUSNESS CLOUDED

FATIGUABILITY INCREASED

HALLUCINOSIS RARE

AMNESIA—RECENT! CHRONOLOGY AND STORAGE IMPAIRED. FABULATION