. A practical treatise on medical diagnosis for students and physicians . are. The differential diagnosis fromsuppurative meningitis can be certainly made only by an examination ofthe spinal Huid. This contains more albumin and cells, chiefly ependy-mal, than normal, but is sterile. This condition usually occurs in thecourse of some infectious process. Meningismus is a term invented by French clinicians to describe a condi-tion that may occur in the course of severe infections ; it is characterizedby symptoms practically identical with those of serous meningitis, butmore transient. Ordinarily
. A practical treatise on medical diagnosis for students and physicians . are. The differential diagnosis fromsuppurative meningitis can be certainly made only by an examination ofthe spinal Huid. This contains more albumin and cells, chiefly ependy-mal, than normal, but is sterile. This condition usually occurs in thecourse of some infectious process. Meningismus is a term invented by French clinicians to describe a condi-tion that may occur in the course of severe infections ; it is characterizedby symptoms practically identical with those of serous meningitis, butmore transient. Ordinarily it is entirely relieved by spinal Kernigs sign may occur in acute infections, it is of little value in thediagnosis of this condition. Cerebral Hemorrhage. (Apoplexy.) This usually occurs in advanced life in patients who have pronouncedarteriosclerosis. Occasionally, however, it occurs in young adults and inchildren. It is characterized by a great variety of symptoms, dependinglargely upon the location of the lesion. They may be divided into those Fig. Vertical transverse section through the right hemisphere: 1, cortex: 2, white substance;3. internal capsule: 4, optic thalamus ; 5, lenticular nucleus; 6, part of the lateral sinus. (AfterDejeeixe. I of the attack and those of the post-apoplectic stage. The symptoms ofthe attack consist of prodromata—that is, headache, tendency to vertigo,a sense of fulness in the head, roaring in the ears, and perhaps somethickness of speech. These may pass off without further disturbance ormay lead directly to an attack. The latter is usually characterized by 74 1170 DISEASES OF THE NERVOUS SYSTE3I. the .sudden occurrence of complete unconscnousness. The patient falls tothe ground, and there is at first a temporary pallor. This is succeededby flushing of the face, which may become almost purple. The pulseis full, bounding, and compressed with difficulty. The blood-pressureis greatly increased. The breathing is stertorous, sl
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