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

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Case 16.

mental

TABETIC SYMPTOMS AND SIGNS IN ORDER OF THEIR FREQUENCY ANALYSIS OF 250 CASES PER CENT 1. ROMBERG SIGN 96.4 2. ABSENT KNEE-JERKS 90.0 3. LANCINATING PAINS 88.4 4. STAGGERING GAIT 87.2 5. ARGYLL-ROBERTSON PUPIL 80.0 6. ATAXIA IN UPPER EXTREMITIES 68.2 7. SPHINCTER DISTURBANCES 67.6 8. SENSORY DISTURBANCES 58.2 9. VISUAL DISTURBANCES 43.6 10. PARESTHESIA AND NUMBNESS OF FEET AND LOWER EXTREMITIES 42.8 11. GIRDLE SENSE 31.2 12. PTOSIS OF EYE-LIDS 23.2 13. PARESTHESIA OR NUMBNESS IN HANDS OR UPPER EXTREMITIES 13.6 14. STRABISMUS 12.0 15. VISCERAL CRISES 12.0 16. LOSS OF SEXUAL DESIRE 11.5 17. CHARCOT JOINTS 9.2 18. VERTIGO 4.0 19. MAL PERFORANS 3.2 20. PAIN IN JOINTS 2.8 21. RECTAL TENESMUS 2.8 22. MENTAL DEGENERATION (other than paresis) 2.4 23. HEMIPLEGIA 2.4 24. VESICAL TENESMUS 2.0 25. DIFFICULTY IN ARTICULATION 2.0 26. DEAFNESS 1.2 27. ANOSMIA 0.8 Baldwin Lucke. Chart 13

While in the hospital things shortly came to a crisis. In the midst of a fit of depression, Sullivan attempted suicide by beating his head against the wall. Whether this attempt could be regarded psychopathic, however, remained in question. Sullivan had been drinking very heavily although he had stopped about six weeks before admission, fearing that the alcohol was causing a development of symptoms. The remedy was almost worse than the disease because he then became more nervous, lost his appetite, and had a marked insomnia.