Identifier: alienistneurolog4041unse (find matches)
Title: Alienist and neurologist.
Year: 1919 (1910s)
Authors:
Subjects: Neurology Psychology Psychiatry Psychology, Clinical Forensic Psychiatry
Publisher: St. Louis, Mo. : Ev.E. Carreras, Steam Printer, Publisher and Binder
Contributing Library: Columbia University Libraries
Digitizing Sponsor: National Endowment for the Humanities (NEH)

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disturbances of intracranial pressure. Indeed, they resemble in many par-ticulars the findings in brain syphilis, in brain tumor, and in tetany, and they are notunlike those which are seen less frequently in delirium tremens. The two accompanyingcharts exhibit graphically the conclusions of Blins monograph, and show that theocular symptoms of dementia precox are not inconspicuous. (Fig. I and Fig. 2.) (8) Perhaps not every psychiatrist has noticed the enlarged veins just underthe skin of the upper lids and behind the auricles in cases of dementia precox. (Fig. 3and Fig. 4.) These veins are not as prominent and bizarre as those observed in tumorof the brain, but they are perfectly obvious to anyone who will give them attention.In young people they resemble the enlarged veins in the lids which every practitionerhas noticed in the second week of whooping cough. We have found these enlargedveins in most of our patients in a large receiving hospital. Page Three THE ALIENIST AND NEUROLOGIST
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Fig. 3. Harold Egan. The left upper lid, Fig. 4. This lid showed no enlarged veins, with enlarged veins. It has been difficult to make He was a healthy young laboratory servant, these blue veins stand out in the photograph Joseph Kennedy,though they are very plain in the lid itself. THE ALIENIST AND NEUROLOGIST Dr. G. Wilse Robinson has reported the therapeutic results of drainage of thecerebrospinal lake in grave cases of catatonic stupor in dementia precox patients. Intwo of these patients the intraspinal pressure was between 200 and 300 mm. of water,in the other patient the spinal pressure was very low. Repeated drainage was favor-able. He does not, however, mention any enlargement in the veins of the lid or theauricle, or any changes m the fundus of his patients. We recognized at the start that the only absolute and indisputable method ofdetermining the intracranial pressure would consist in connecting a manometer withone of the ventricles of the brain, but we believed that in mos

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