Nervous and mental diseases . tized 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 incontinenceor retention. Fever is ordinarily, but not invaria
Nervous and mental diseases . tized 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 incontinenceor retention. Fever is ordinarily, but not invariably, absent and thephysical functions are well carried on. Death rarely results from thisform of cerebral syphilis, but, on the other hand, complete recovery isequally rare. Some trace in the way of mental apathy is likely to per-sist. In exceptional instances there is wild, maniacal delirium andmotor excitement, an elevated temperature, and quickened pulse. The Arterial Form.—Cerebral syphilitic arteritis is usually accom-. *%r^A- V
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