. Internal medicine; a work for the practicing physician on diagnosis and treatment, with a complete Desk index. ead-ache. It may even depend in someeases on slight aneurismal must not overlook in these casesassociated disorders in the heart andkidneys Senile Epilepsy.—The onset ofepilepsy in old age is occasionallyobsei-ved. It is doubtless helped onin some cases by alcoholism. The prime cause is probably degenerativechange in the brain cortex. The epileptic seizure in senile patients is prac-tically like that seen in ordinary epilepsy. It is necessary to exclude urtemia. Senil
. Internal medicine; a work for the practicing physician on diagnosis and treatment, with a complete Desk index. ead-ache. It may even depend in someeases on slight aneurismal must not overlook in these casesassociated disorders in the heart andkidneys Senile Epilepsy.—The onset ofepilepsy in old age is occasionallyobsei-ved. It is doubtless helped onin some cases by alcoholism. The prime cause is probably degenerativechange in the brain cortex. The epileptic seizure in senile patients is prac-tically like that seen in ordinary epilepsy. It is necessary to exclude urtemia. Senile Tremor.—In some old persons a very pronounced tremor isseen. It usually begins as a fine movement in the hands, most marked onexertion. Later it may spread, especially to the neck, causing a shakingof the head. In advanced stages it is even present during rest, but it dis-appears during sleep. It is not accompanied with the muscular rigidityand the characteristic attitude, expression, and gait of paralysis intermediate cases are seen, and the two conditions have somepoints of Fig. 378.—Arthropathy in general paresis.—Lloyd,Philadelphia Hospital Reports, vol. ii. 716 MEDICAL DIAGNOSIS. Senile Paraplegia.—A spastic paresis of the legs, more rarely of thearms also, occurs in the aged. There may, or may not, be antesthesia andweakness of the sphincters. The cases usually resemble primary lateralsclerosis, without loss of sensation or involvement of the bladder and condition may depend on primary changes in the cord, especially inthe lateral tracts, or it is possibly due to small foci of softening in themotor regions of the brain. These patients often have well-markedmental deterioration. Alcoholism and Drug Habits in the Aged.—Evil habits creep oninsidiously in some old people who may always have led strictly temperatelives. Bevan Lewis calls, attention to the frightful impetus which theexcessive use of alcohol lends to the retrog
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