Nervous and mental diseases . Fig. 152.—A case of syringomyelia with in\of face and tongue—syringobulbia volvement Fig. 153.—Syringomyelia with much atrophyand spinal deviation. Diagnosis.—The diagnosis depends upon the insidious develop-ment of the disease and upon the combination of sensory, trophic, andmotor disorders. The dissociation of touch and pain is well-nigh dis-tinctive, but is occasionally found in tabes, neuritis, and hysteria. Us-ually it will be necessary to exclude progressive muscular atrophy,amyotrophic lateral sclerosis, pachymeningitis hypertrophica cervicalis,locomotor at
Nervous and mental diseases . Fig. 152.—A case of syringomyelia with in\of face and tongue—syringobulbia volvement Fig. 153.—Syringomyelia with much atrophyand spinal deviation. Diagnosis.—The diagnosis depends upon the insidious develop-ment of the disease and upon the combination of sensory, trophic, andmotor disorders. The dissociation of touch and pain is well-nigh dis-tinctive, but is occasionally found in tabes, neuritis, and hysteria. Us-ually it will be necessary to exclude progressive muscular atrophy,amyotrophic lateral sclerosis, pachymeningitis hypertrophica cervicalis,locomotor ataxia, and peripheral neuritis. Perhaps acromegalia, sclero-derma, leprosy, and hysteria may at times confuse, but in all these anattentive study of the combinations of symptoms should enable a diagno-sis to be made. Treatment has proved futile, or nearly so. Measures looking to the general well-being of the patient are most advisable. Locally, massage and electricity may give slight help at times. Counterirritation ov
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