Diseases of the Nervous System: A Text-Book for Students and Practitioners of Medicine (Classic Reprint)

Hermann Oppenheim

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Text-Book of Nervous Diseases for Physicians and Students, Vol. 2 (Classic Reprint)

Excerpt from Text-Book of Nervous Diseases for Physicians and Students, Vol. 2The choroid plexus which accompanies it is continued through the foramen of Monro into the lateral ventricle. The two veins of Galen run in the tela. Chorioidea and unite to form the un paired or great vein of Galen at the posterior pole of the pineal gland. The tela, chorioidea inferior lies between the ventral surface of the cerebellum and the dorsal surface of the medulla. Oblongata.About the PublisherForgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.comThis book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.

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. 1911 Excerpt: ...marked fluctuations in the intensity and extent of the motor disorders may be found from day to day. The bladder and sensory symptoms also show the same variability. This fluctuation is particularly characteristic with regard to the tendon reflexes; thus the knee jerks were in some cases quite absent at certain times, present a few days later, and at other times were markedly exaggerated. In one case of this kind I found the posterior roots in the upper lumbar region embedded in granulation tissue and partially atrophied, and I thought that this variability of the symptoms might be due to alterations of pressure within the membranes. Although this variability may occur in other diseases, such as sarcomatosis of the spinal cord (Nonne, Mamlock1), it has been very pronounced in many cases of spinal syphilis. Ataxia is a not uncommon symptom, and it may also show the same inconstant character. 1 Prog, mid., 1897. » A. f. P., xxxvii. Finally, we must refer to one important factor. In many instances a similar disease develops in the brain, i.e. in the basal meninges and vessels, the symptoms of which may accompany or precede the spinal form. This cerebro-spinal meningitis represents in my opinion (my cases being supported by those of Siemerling, Eisenlohr, Sachs, Gerhardt, Pick, Homen, Henneberg, Nonne, Kopczvnski, and many other writers) one main form of syphilitic disease of the nervous system. The brain symptoms are, it is true, usually so very prominent that the spinal symptoms are masked and overlooked. Gerhardt2 draws attention to the triplegia which may exist, i.e. the paralysis of three extremities, which arises from the union of a hemiplegia and a paraplegia. Williamson also mentions this symptom. We need hardly expound in any detail the fact that ...

Text-book of nervous diseases for physicians and students Volume 1

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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. 1911 Excerpt: ...This co-existence of meningeal, root, and cord symptoms, this multiplicity and incompleteness of clinical signs are in themselves somewhat characteristic, but the most convincing evidence of the specific nature of the process is furnished by the course of the disease, the inconstancy, the remissions, and the fluctuations in the severity of the symptoms. Thus there may be a sudden onset of paresis in one or both legs, or the paresis may, without warning, develop into paraplegia, which again may as rapidly change back into paraparesis or to paresis of one leg. I have, for instance, seen one case in which, during the course of a few weeks, there were four attacks of paraparesis, and another in which the spinal hemiplegia came and went three times during a short period of time. As one examines the case marked fluctuations in the intensity and extent of the motor disorders may be found from d&y to day. The bladder and sensory symptoms also show the same variability. This fluctuation is particularly characteristic with regard to the tendon reflexes; thus the knee jerks were in some cases quite absent at certain times, present a few days later, and at other times were markedly exaggerated. In one case of this kind I found the posterior roots in the upper lumbar region embedded in granulation tissue and partially atrophied, and I thought that this variability of the symptoms might be due to alterations of pressure within the membranes. Although this variability may occur in other diseases, such as sarcomatosis of the spinal cord (Nonne, 1 Prog, mid., 1897. « A. f. P., xxxvii. Mamlock1), it has been very pronounced in many cases of spinal syphilis. Ataxia is a not uncommon symptom, and it may also show the same inconstant character Finally, we must refer to...

Textbook of nervous diseases

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