Forchheimer's Therapeusis of Internal Disease Volume 4
This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1915 edition. Excerpt: ... disease of the convexity of the brain we have a series of characteristic phenomena pointing to its location. Among these, convulsions, followed by paralysis, indicate the existence of cither gumma or inflammation. Localized syphilitic meningitis of the convexity may produce partial or focal epilepsy. If the lesion is on the left side aphasia may result, with or without slight attacks of monoplegia or hemiplegia. Aphasia may also be caused by thrombosis of the vessels nourishing the speech centers. There is no distinct type of speech disturbance characteristic for syphilis; motor, sensory and mixed varieties of aphasia may appear as in non-specific cases. It is important to remember that, as in the other symptoms of brain syphilis, variability and atypical character are leading features and aids in diagnosis. Mental symptoms occupy a prominent place in the symptomatology of meningitis of the convexity. Depending for the most part upon the location of the inflammation in the frontal lobe, the symptoms may present striking resemblances to general paresis, for which it has often been mistaken. This syndrome has been described by writers under the heading of pseudo-paresis and will be discussed under the differential diagnosis of general paresis. Diagnosis.--In the majority of cases this is not difficult. We must consider: (1) the history or evidence of past or present syphilis; (2) the symptoms themselves--their character, development, and particular grouping; (3) serodiagnosis; (4) the therapeutic test. (1) A searching inquiry into the patient's antecedents will often lead to the desired goal. If no information is obtainable by questioning, the patient's body should be carefully examined for evidences of the disease. Syphilides may still be...
- Paperback | 450 pages
- 189 x 246 x 23mm | 798g
- 13 Sep 2013
- Illustrations, black and white