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FREQUENT SYMPTOMS IN DIFFUSE AND VASCULAR NEUROSYPHILIS

(“CEREBRAL” AND “CEREBROSPINAL SYPHILIS”)

PUPILLARY DISORDER

HEADACHE

VERTIGO

INSOMNIA

DROWSINESS

CHANGE IN DISPOSITION

Irritability Slow thinking

SEIZURES

PARALYSES

Permanent Transient

APHASIA

HEMIANOPSIA

SENSORY DISTURBANCES

GASTRIC CRISES

SPHINCTER DISTURBANCES

INTRACRANIAL PRESSURE SYMPTOMS

POLYURIA, POLYDIPSIA, GLYCOSURIA

MÉNIÈRE’S SYNDROME

NYSTAGMUS

Chart 14

See Appendix B for technical details.

2. What is the relation of the tibial exostosis to neurosyphilis? The syphilographers have always stressed the tibial lesions in the diagnosis of syphilis. Although not so much attention has been paid to these and kindred osseous lesions in neurosyphilis, yet we have frequently found such lesions and they afford an important auxiliary means of diagnosis.

A POSITIVE SERUM Wassermann reaction with a NEGATIVE FLUID Wassermann Reaction may be found in NEUROSYPHILIS, particularly in VASCULAR NEUROSYPHILIS: the remaining signs in the fluid, although frequently positive, may even be negative.