Identifier: diseasesofnervo00jell (find matches)
Title: Diseases of the nervous system : a text-book of neurology and psychiatry
Year: 1915 (1910s)
Authors: Jelliffe, Smith Ely, 1866-1945 White, William A. (William Alanson), 1870-1937
Subjects: Mental Disorders Nervous System Diseases
Publisher: Philadelphia : Lea & Febiger
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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rospinal syphilis. For practical purposes, however, it has been foundof value to arbitrarily divide this large conglomeration and discuss itunder two captions: cerebral syphilis, and spinal syphilis or meningo-myelitis. This means simply that we are dealing with cerebrospinal 1 See Head, Brain, 1913. 574 SYPHILIS OF THE NERVOUS SYSTEM syphilis with predominant cerebral and minor spinal symptoms onthe one hand, and with predominant spinal and nerve root, with lessprominent cerebral signs on the other. It again seems advisable toaccentuate the purely arbitrary nature of all such classifications. Symptoms.—In considering meningomyelitis as a unit, we findcause for further emphasis upon separable symptom groups. Withinthis conglomeration again clinical neurology shows four fairly cleartendencies: 1. Syndromes due to pronounced meningeal implication. 2. Sjmdromes due to root and cauda equina disease. Radiculitisand neuritis. 3. Myelitic syndromes due to indiscriminate transverse disease.
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Fig. 296.—Meningomyelitis. Radiculitis. Degeneration of Burdachs columns. 4. Syndromes of less extensive transverse lesions and fiber tractisolation. System syndromes. A combination of all would make a complete meningomyelitic syn-drome. This is a not unusual picture in a rapidly developing case; inits more chronic course the emphasis seems to be laid upon one oranother of the just-mentioned groupings. These are characteristic syndromes of the early and secondarystages of syphilis. The syndromes may develop within a few monthsafter infection, or only come on after many years. In the formercase the acute myelitic changes are frequent, also root lesions (manyneuralgias, sciatica, etc.). The later developing cases show more thesystemic lesions and gradually advancing meningopathies (latersecondary meningitis) with compression (spastic) phenomena. SYPHILITIC MENINGOMYELITIS 575 In all one expects to obtain a positive Wassermann; cerebrospinalfluid Wassermann is negative, save with large

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