File:Diseases of the nervous system - a text-book of neurology and psychiatry (1915) (14802731823).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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^ localizedaffair, or it may be diffuse. It may be limited to the meninges, orinvolve the bones, or the brain, or, as is most usual, all three. Here, headache is a prominent sign. It is paroxysmal, and oftenshows a nocturnal increase in severity. Percussion affords valuableevidence, as localized tenderness is very common. Here the general syndrome of brain pressure is usually less empha-sized. Nausea, vomiting, giddiness, may be present, but are usuallylate in development, or more transitory. Optic nerve changes areless frequent. Isolated symptoms are more prominent. Epileptiform
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Fig. 258. -Chronic epileptiform convulsions due to syphilitic leptomeningitis andsyphilitic vascular disease. (Lafora.) convulsions indicate that the process is in or about the motor areas.Not infrequently the attacks are of the Jacksonian type. Involve-ment of Brocas convolutions produces temporary or more enduringmotor aphasic attacks. Sometimes these aphasic attacks clear up ina few minutes, an hour or so, or a few days. Minor speech difficultiesmay only indicate the possibility that an aphasia might develop.Complete motor aphasia develops only, as a rule, with hemiplegic ormonoplegic accompaniments. Pseudobulbar palsy attacks indicate abilateral involvement, probably both cortical, less frequently corticalon one side, and subcortical on the opposite side. )\Ionoplegias of varying types are not infrequent. Bergmark^ 1 Brain, 1911. CEREBRAL SYPHILIS 529 has devoted a large monograph to this study. Sensory disturbances,hemianesthesise, astereognosis, haptic hallucinations are met wit

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