File:Diseases of the nervous system - a text-book of neurology and psychiatry (1915) (14779750531).jpg

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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e to break awayfrom the belief in the excessive veneryetiology then rampant. Schesmer (1819)described the peculiar gait in an unmis-takable manner, while W. Horn (1827)emphasized the real absence of a trueparalysis, and spoke of an ataxia where-by this affection was different from otherforms of myelitis. Decker (1838) calledattention to the swaying and unsteadi-ness with closed eyes, which was takenup by Romberg three years later andrechristened Rombergs sign. Pathologically the characteristic cordsigns were not unobserved. Hutin(1828) describes them, Ollivier ofAnglers (1837) gave the picture, re-produced here in part, while Cruveilhier (1832-1845), in his Atlas,gives masterly clinical and pathological descriptions. Romberg in the first edition of his Lehrbuch gave greater precisionto the description, and Steinthal (1847) threw together the incom-plete paralysis (or ataxia), the Romberg sign, and the characteristicgait, but without any real grasp of the situation clinically or patho-
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FiG. 281.—Illustration of the cordof a tabetic given by Ollivier ofAngiers in 1837. 558 SYPHILIS OF THE NERVOUS SYSTEM logically. Later Romberg, in the second edition of his text-book(1851) gave greater precision to the concept, and gave a classicaldescription. Finally, Duchenne, in the years 1852 to 1858, elaboratedthe general idea, and gave the first complete and adequate descriptionof the disorder. It may be said that Horn and Romberg had practi-cally made out of the general tabes dorsalis collection a special tabesdorsalis collection in the sense of our present-day conceptions in thephysiological and pathological fashioning of which Tod (1847), whoseemed to grasp the fact that incoordination and posterior columnswere related, Rokitansky (1854), Virchow (1855), Turck (1856),Landry (1858), and Gull (1858) made lasting contributions. Therecent history gives us the names of Charcot (1868), Vulpian, andTopinard, and in 1863 three monographs appear by Eisenmann, Ley-den, and Friedreic

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