Diseases of the nervous system : a text-book of neurology and psychiatry . 1877 by Clouston. It appears at the presenttime not infrequently, since the Wassermann-Plaut findings offer suchcertain criteria for its determination. Such tests seem necessary,since the clinical picture may be so extremely variable—hence it wasoverlooked—many patients dying diagnosed as imbeciles. 550 SYPHILIS OF THE NERVOUS SYSTEM Here the patient may make a comparatively normal developmentto five or ten years of age—certain non-developmental forms probablybelong here, but are now disregarded. Then the childs mentali
Diseases of the nervous system : a text-book of neurology and psychiatry . 1877 by Clouston. It appears at the presenttime not infrequently, since the Wassermann-Plaut findings offer suchcertain criteria for its determination. Such tests seem necessary,since the clinical picture may be so extremely variable—hence it wasoverlooked—many patients dying diagnosed as imbeciles. 550 SYPHILIS OF THE NERVOUS SYSTEM Here the patient may make a comparatively normal developmentto five or ten years of age—certain non-developmental forms probablybelong here, but are now disregarded. Then the childs mentalityseems to drop. In older children, ten to sixteen, this drop is moreapparent. Poor memory, bad motor adaptation and gradual demen-tia appear. Childishness, fabrication, excitements and depressions,fears, and anxieties, are frequent. Epileptiform convulsions appear—many juvenile paretics are gathered into the almshouses and epi-leptic colonies as epileptics with feeble-mindedness—and after acourse of three or four years, with gradually deepening mental disin-. FiG. 273.—Brain of a patient with a syphilitic psychosis of acute maniacal and engorged vessels. Syphilitic meningitis. tegration, the patient dies. The histopathological changes are identicalwith those of the adult form. It is noteworthy that the age of onset, from seven to twelve years,is the same length of time that in the adult form elapses betweeninfection and the outcrop of the metasyphilitic disease. SYPHIUTIC PSYCHOSES. In this section are included the psychoses which are associatedwith cerebral syphilis and with tabes. In the present state of ourknowledge we are not prepared, as already stated, to make a cleardistinction either on pathological, clinical, or psychological groundsbetween the so-called metasyphilitic and the more clearly syphilitic SYPHILITIC PSYCHOSES 551
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