File:Organic and functional nervous diseases; a text-book of neurology (1913) (14595205979).jpg

Identifier: organicfunctiona00star (find matches)
Title: Organic and functional nervous diseases; a text-book of neurology
Year: 1913 (1910s)
Authors: Starr, M. Allen (Moses Allen), 1854-1932
Subjects: Nervous system Nervous System Diseases
Publisher: New York, Philadelphia, Lea & Febiger
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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erves are affected. Double sixth nerve palsy isvery rare. Such palsies usually subside rapidly under treatment andleave no permanent effects. Or a patient may suffer from gradually increasing localized headachesor diffuse pain over the entire head, which may last for weeks withoutfurther manifestation ; or may be followed by a gradually increasingmental dullness going on even to dementia. Changes in the pupils,inequality, or sluggish action or failure to contract to light are often 692 SYPHILIS OF THE NEEFOUS SYSTEM. found, and sometimes an optic neuritis appears. Occasionally epilepticconvulsions occur, either localized Jacksonian attacks or general con-vulsions. These may be the only symptoms of a general syphiliticmeningitis of the convexity. If to this are added gummy exudations,the local signs of brain tumor may appear. The pressure of syphilitic exudations upon the bloodvessels of thebrain adds to the complexity of the symptoms, often causing pseudo-apoplectic attacks. Fig. 292.
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Syphilitic meningitis of spinal cord. Section from tlie midthoracic region of the spinal cord, show-ing the thickening of the membranes and their adhesion to the cord, a, a, a, a, a, degeneration of theperipheral parts of the cord. (Spiller.) In syphilitic exudations within the Sylvian fissure the pressure mayproduce a stasis in the Sylvian artery, causing a sudden hemiplegic andaphasic attack and convulsions. If the basilar artery is compressed,very irregular symptoms of bulbar palsy appear and a fatal terminationmay follow. Yet even in these cases recovery is possible if underbrisk treatment the exudation is absorbed and the pressure removed.I have seen one case of total aphasia and hemiplegia recover entirely,although the pressure symptoms remained a week. I have seen a casepresenting all the signs of acute bulbar paralysis with a state of comalasting ten days followed by complete recovery. I have seen a casewith all the symptoms of brain tumor attended by unilateral and gen-eral c

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