Clinical Lecture on Mental Diseases
This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1884 edition. Excerpt: ...did not sometimes derange the functions of the convolutions in persons predisposed to insanity. This form of syphilitic insanity has no known pathology. Its treatment is that of secondary syphilis, and its prognosis is good. The second form, the delusional syphilitic insanity, is one due, in my opinion, to slight brain starvation and irritation from syphilitic arteritis that has become arrested. It consists of an incurable monomania of suspicion or of unseen agency, with hallucinations of the senses, but without motor symptoms, following at some distance of time an attack of syphilis in persons strongly predisposed to insanity. It seems as if, in fact, the syphilitic poison had produced a subtile dynamical change in the brain convolutions and their trophic energy, as well as the arteritis, manifesting itself in unreason, hallucinations, and an organic feeling of illbeing. Dr. Hugh Grainger Stewart published several graphic cases of this kind. One of them imagined that he underwent a kind of a nightly torture called by him the "cylinder finish;" another said that most ingenious machines were introduced into her brain to torture her; another that people shot vitriol, ammonia, and "black poison" at him all night, to avoid which he wedged his bedroom doors, covered the key-holes with blankets, stuffed his ears and nostrils with cotton-wool, and his mouth with a pocket handkerchief, all these defensive measures against his imaginary bombardment taking him an hour to carry out before he went to bed. I have several cases of the same kind under my care just now. One is a woman, H. P., a prostitute, who thinks there is a network of wires in her brain, put there by me. Another, a gentleman, H. Q., strongly predisposed to insanity, his...
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