Читать книгу Neurosyphilis. Modern Systematic Diagnosis and Treatment Presented in One Hundred and Thirty-Seven Case Histories онлайн

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OVER-SUGGESTIBILITY

JUDGMENT IMPAIRED

FANTASTIC DELUSIONS

INSIGHT INTO ILLNESS NIL

EARLY IRRITABILITY OR HEBETUDE

QUICK SHIFTING EMOTION

CHARACTER CHANGE

CONDUCT SLUMP

Chart 10

1. What is the duration of paretic neurosyphilis (“general paresis”)? If we omit the doubtful, early, and prodromal stages and count the beginning of the disease with the occurrence of definite symptoms, we find (Kraepelin) that almost half the patients with pronounced paretic signs die within the first two years of their disease. Kraepelin’s observations upon 244 cases are as follows:

Year: 1 2 3 4 5 6 7 8 9 10 14 Cases: 51 63 52 41 22 4 5 2 2 1 1

The average duration of the disease in months has been calculated as varying from 24 to 32 months. Juvenile paresis runs a slower and more insidious course. The duration of paresis, according to many observers, diminishes with the increasing age of the patient. It is now held that a combination of tabes with paresis does not prolong the duration of the paresis. As noted above in the discussion of Case Harrison (9), our conceptions of the characteristic duration of paretic neurosyphilis must alter with the increase of our knowledge due to the early application of laboratory tests.