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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Foriiu.—Those patients who show a predominant motoractivity in the beginning may be said to be grouped here. Great 548 SYPHILIS OF THE NERVOUS SYSTEM restlessness runs through the entire picture. The mental content isvery variable—euphoric, depressed, hypochondriacal, mood colora-tions flit in and out. Galloping cases are usually grouped here, inwhich an extremely rapid and fatal course is present. This is really only a subgroup of the preceding type, only artificiallyseparated off by reason of the more consistently persistent psychomotorrestlessness. Remissions are frequent, as are also the apoplectiformand epileptiform attacks. The pathological process simply has a widerextension in the motor areas. The acute delirious cases, somewhat resembling delirium tremensof alcoholism, and independent of it, are arranged by Kraepelin in theagitated group. 5. Irregular Types.—Lissauer, etc. These patients, showing irregu-lar forms of development; neurosyniptomatic groupings, hemiplegias,
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Fig. 271.—Paresis with tabetic changes in spinal cord. etc., are here brought together. The hemiplegic and tabopareticgroups are the more frequent. Taboparesis.-—^Taboparesis is the more striking of these irregularforms and deserves a further outlining. It has been assumed by many, especially by neurologists (Schaffer,for summary, 1912) that tabes may be regarded as a spinal paresis, andparesis a cerebral tabes; that is, the disease varies only by reason ofthe greater severity of the process in the one or the other localization. Kraepelin, on the other hand, accentuates the opposing psychiatricview, that whereas, the two disorders are undoubtedly fundamentallysyphilitic, yet they are two different kinds of processes, and that whenthe symptoms of tabes are added to paresis the changes in the cord arenot exactly similar to those found in tabes limited to the cord. Thedifferent findings in the cerebrospinal fluid in the two disorders wouldpoint to some sort of a difference as well. J

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