Lectures on diseases of the spinal cord / by Pierre Marie ; tr. by Montagu Lubbock.

  • Marie, Pierre, 1853-1940.
Date:
1895
Catalogue details

Licence: Public Domain Mark

Credit: Lectures on diseases of the spinal cord / by Pierre Marie ; tr. by Montagu Lubbock. Source: Wellcome Collection.

Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.

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    PAGE LECTURE XXIII. Tabes.—Symptoms {continued). Visceral disorders. III.—Phartngo-lartngeal system. A.—Pharynx. Researches of Pano. Pharyngeal crises of Oppenheim. B.—Jjwrynx. Tabid Laryngismus : (1) Acute symptoms of tabid laryngismus ; laryn- geal crises, their description, laryngeal ictus, nature and mode of produc- tion of laryngeal crises. (2) Chronic symptoms of tabid laryngismus, whistling inspiration, iinnatural voice, having- two tones. Laryngeal paralysis: the most frequent is that of the posterior crico-arytenoid muscles. Lesions of chronic laryngismus connected with the nerves and medulla oblongata. IV.—Urinary system. A.—Derangements of the urinary secretion : glycosuria ; changes in the amount of urea, phosphoric acid, &c. ; excessive secretion of urine. B.—Derangements of the urinary excretion: false urinary patients of M. Guyon ; relative retention, complete retention ; absolute incontinence, relative incontinence ; vesical colic; nephritic crises. V.—Generative system. A.—Derangements in the male: impotence ; generative excitement; cremaster reflex, its research, its signification: bulbo-cavernosus reflex; atrophy and anaes- thesia of the testis. B.—Derangement in the female: genital depression; genital excitement; pain in the genital organs ; vulvo-vaginal crises 276 LECTURE XXIV. Tabes.—Symptoms (continued). VI. Cerebral system.—Hemiplegia. Apoplectiform attacks. Epileptiform attacks. Acute symptoms connected with the medulla oblongata. Psychical derangements. Coincidence of general paralysis of the insane. Course of Tabes.—Prodromal period. Second period, period of inco- ordination. Third period, confinement to bed. Forms of tabes : upper or cervical, cerebral, mild, and severe forms 291 LECTURE XXV. Tabes.—J<]tiology. Ji]TiOLOGY.—Common causes: Wet and cold; Diatheses: arthritic, herpetic; sexual excess; injary. The true etiological element of tabes is syphilis. The discovery of this fact is due to Fournier (1876). Erb (1879) adopts and defends this opinion. Statistics published by different authors as to the percentage of tabid patients known to be affected by syphilis. Recent statistics of Erb including 369 cases giving 89 per cent, of syphilis in the istiology of tabes. Nine-tenths at least of tabid patients suffer therefore from syphilis.—Increased number of adversaries to this opinion.— Refutation of their arguments.—Influence of hereditary pre-disposition to nervous diseases shown by Charcot. Doubtful effect of hereditary syphilis. Age: greatest frequency of onset between 30 and 45 years. Eace. Profession: most often occurs in the liberal professions; its infrequency in the clerical profession 298 LECTURE XXVI. Taees.—Diagnosis. Diagnosis : Difiiculty in making a complete and methodical diagnosis. Differential character as regards : Cerebellar affections, Insidar sclerosis, Astasia-abasia, Syringo-myelia; as regards Pseudo-tabes; A, Toxic Pseudo-