. The Journal of nervous and mental disease . asing failure. Thepulse small and very rapid. The respirations are normal in fre-quency ; the lungs are clear throughout. There is no distension ofthe abdomen. Temperature 100 degrees. January 24, 1903. To-day the patient has shown very markedsigns of weakening; cannot be aroused at all. The respirationsare rapid, the pulse 180 and very small. It has not been possibleto elicit a cause for his condition other than exhaustion. Rapidrise of temperature to 105 degrees; death. Summary.—Sudden loss of power in right leg; sudden loss SPINAL SYPHILIS J of
. The Journal of nervous and mental disease . asing failure. Thepulse small and very rapid. The respirations are normal in fre-quency ; the lungs are clear throughout. There is no distension ofthe abdomen. Temperature 100 degrees. January 24, 1903. To-day the patient has shown very markedsigns of weakening; cannot be aroused at all. The respirationsare rapid, the pulse 180 and very small. It has not been possibleto elicit a cause for his condition other than exhaustion. Rapidrise of temperature to 105 degrees; death. Summary.—Sudden loss of power in right leg; sudden loss SPINAL SYPHILIS J of power in left arm, and to a less extent in left leg. Rapid re-covery of right leg; persistence of weakness in left arm and recurrence of loss of power in right leg: involvement ofright arm. At first no rigidity; later on rigidity and interosseous wasting in both hands, most evident inleft; some wasting of left thigh. Tendon jerks plus; ankle clonuspresent; later Babinski sign on both sides. Bladder at first not. Fig. 2.—From Case I., showing inflammatory infiltration in pyramidaltract. involved, later on incontinence. No sensory losses. Gradualmental deterioration. January 28, 1903—Autopsy.—This, unfortunately, had to belimited to the removal of the brain and cord. Gross examination of the brain and cord revealed evidencesof disease of the pia-arachnoid; opacities and thickening. Nolesions whatever could be detected, either in the capsules or. basalganglia. 8 F. X. DERCUM Microscopical Examination—Lumbar Cord.—Meningitis andvascular infiltration pronounced; moderate peripheral infiltration;marked infiltration and degeneration of the pyramidal tracts. Dorsal Cord.—(Meningitis and vascular thickening more pro-nounced. Moderate peripheral infiltration most marked anter-iorly and laterally; hardly perceptible in posterior pyramidal tract infiltration and degeneration very de-cided. Cervical Cord.—Moderate meningitis and i
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