Cases of disease of the nervous system in patients the subjects of inherited syphilis / by J. Hughlings-Jackson.

  • Jackson, John Hughlings, 1834-1911.
Date:
1868
Catalogue details

Licence: Public Domain Mark

Credit: Cases of disease of the nervous system in patients the subjects of inherited syphilis / by J. Hughlings-Jackson. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    not improve as regards tlie faints, tlie amaurosis, the deafness, nor recently in the condition of the urine. Yet she looked better in general health. May loth, 1864. A few days ago a new symptom ap- peared. One day when walking the right foot twisted spon- taneously, the heel being turned a little out and the toe in, and the foot placed so that the part touching the ground in standing would be the outer border. This only lasted a short time, but she had then pain in the calf^ and could not for a short time straighten the leg. She had now pain over the left temple. I feared that this was a further development of epilepsy, but nothing more came of it. The next patient of this family was Julia, aged 9. She was brought for slight deafness on the right side, attended by some discharge. This soon passed off, but in January, 1864, at the time when her brother had rheumatic fever, she had chorea At first the movements were on both sides, but soon the left only was affected. It continued so for about four months. She is now. May iith, quite well in every respect, except that she has a mitral murmur, as she had when the chorea began. I regret that I did not examine the heart when she had the deafness only. She is a delicate-looking, blue-eyed, pretty child, and has a great deal of light silky hair. There was nothing about her to make one suspect syphilis. [She subsequently died of the effects of heart disease.] The next case I relate is interesting, because both mother and son had the dental malformation so often mentioned. He, however, does not suffer in any way. His sister has fits, but presents no signs to warrant the diagnosis of syphilis. The condition of her mother and brother however renders it likely that she owes her diseased nervous system to transmitted taint. Cases 5 6.—Sig?is of Congenital Syphilis in Mother and Son.—Epilepsy in the Mother and in a Daughter. Mary W., aged 28, came under my care October 22nd, 1866. A month before, when in a shop, she had a fit which came on whilst she was ^Maughing and talking.” She became in- sensible, was carried home, was put to bed, and knew nothing