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

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3. What is the prognosis in vascular neurosyphilis, such as in the case of Wescott? The prognosis is identical with that of cerebral arteriosclerosis in general, that is to say, bad, but with frequent periods of improvement. In the neurosyphilitic type of arterial disease thromboid formation is frequent. Where the lesion is chiefly perivascular infiltration, rather than disintegration of the vessel wall, improvement may very well occur as a result of treatment. Wescott showed slight improvement under treatment. He has already lived two years since his first convulsion, and three and a half years since the onset of symptoms.

DIFFUSE NEUROSYPHILIS (so-called “cerebrospinal syphilis”) is often marked by SEIZURES.

Case 19.

Physicallyneurologically

diagnosis

prognosis

CONDITIONS IN WHICH CONVULSIONS OCCUR

NEUROSYPHILIS

HYSTERIA

EPILEPSY MAJOR (Grand Mal)

EPILEPSY MINOR (Petit Mal)

DEMENTIA PRAECOX

TOXIC CONDITIONS:

Asphyxia, Uremia, Alcohol, Absinthe, Lead, Mercury, etc.

ORGANIC BRAIN LESIONS