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“1. Tuberculosis (all forms) 16,133 2. Pneumonia 9,302 3. Bronchopneumonia 7,217 4. Diphtheria and croup 1,854 5. Influenza 1,381 6. Measles 1,071 7. Typhoid Fever 1,018 General paralysis (recognized) 1,000 8. Scarlet fever 837 9. Whooping cough 818 10. Syphilis 782”

PARETIC NEUROSYPHILIS (GENERAL PARESIS)

CHARACTERISTICS

AMNESIA

QUICK SHIFTING EMOTIONS

CHARACTER CHANGE

CONDUCT SLUMP

NERVOUS DISORDERS

SPEECH DISORDERS

PUPILLARY CHANGES

REFLEX CHANGES

SEIZURES

CEREBROSPINAL FLUID PICTURE

Chart 11

SYPHILITIC PSYCHOSES

SYPHILITIC NEURASTHENIA

GUMMA

SYPHILITIC PSEUDOPARESIS

APOPLECTIC CEREBRAL SYPHILIS

SYPHILITIC EPILEPSY

SYPHILITIC PARANOIA

TABETIC PSYCHOSIS

HEREDITARY

PARESIS

Kraepelin, 1910

Chart 12

TABOPARETIC NEUROSYPHILIS (“taboparesis”) is CLINICALLY a combination of the symptoms of TABES DORSALIS and those of GENERAL PARESIS. The COURSE of TABOPARESIS is likely to be from a characteristic tabes dorsalis (often of years’ standing) to a characteristic general paresis; the ultimate paretic picture is likely to retain various characteristics of tabes. The LABORATORY TESTS in the paretic phase are characteristic of ordinary (non-tabetic) general paresis. The PROGNOSIS, after the paretic phase has arrived, is apt to be that of general paresis.