Nervous and mental diseases . lid, or some twitching of alimb indicate the impending storm and show its direction. Head and Fearnsides lay much emphasis upon shiverings andnerve-root symptoms. These are of frequent occurrence not only in earlystages but in the late degenerative forms. The patient frequently com-plains of intense shivering on taking a bath or even on using a roughtowel, especially on the dorsum of the body. A careful examinationof sensation will usually detect nerve root, nerve trunk, or segmentedareas of disturbance of a minor sort. These are most common in thelumbosacral fiel
Nervous and mental diseases . lid, or some twitching of alimb indicate the impending storm and show its direction. Head and Fearnsides lay much emphasis upon shiverings andnerve-root symptoms. These are of frequent occurrence not only in earlystages but in the late degenerative forms. The patient frequently com-plains of intense shivering on taking a bath or even on using a roughtowel, especially on the dorsum of the body. A careful examinationof sensation will usually detect nerve root, nerve trunk, or segmentedareas of disturbance of a minor sort. These are most common in thelumbosacral field, next in the cervicofacial area, but may be verydefinitely intercostal or thoracicospinal. In some cases paresthesiasand neuralgias are pronounced and persistent. Special Symptoms.—After the premonitory period or even fromthe first the disease shows one of three major tendencies, marked bythe preponderance of meningitis, arterial accidents, or tumor formation,respectively. These may be and usually are variously Fig. 209.—Brain showing basilar syphilitic meningitis, with generalized exudate and small cysts in thedeeper farrows (Dr. W. A. Jones). The mening-eal forra is marked by extreme depression and patient lies like one narcotized or stupefied with alcohol. At timeshe can be roused to answer in monosyllables, but promptly subsides intothe lethargic state and may become unconscious and comatose for a fewmoments, for an hour, or for several days. When he talks it is in anuncertain and unreliable way. Frequently there is a little headache alone seems to cause him trouble. Usually pupillarysluggishness and inequality are present, ptosis and squints are frequent,and diplopia sometimes admitted. There may be urinary incontinence 496 DISEASES OF THE GENERAL NERVOUS SYSTEM. or retention. Fever is ordinarily, but not invariably, absent and thephysical functions are well carried on. Death rarely results from thisform of cerebral syphilis, but, o
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Keywords: ., bookcentury1900, booksubjectmentalillness, booksubjectnervoussys
