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The Pathology of General Paresis

Published online by Cambridge University Press:  19 February 2018

W. H. O. Sankey
W. H. O. Sankey*
Affiliation:
Female Department, Middlesex County Asylum, Hanwell
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Extract

The term General Paresis, proposed in this Journal by Dr. Ernst Salomon, in place of general paralysis, appears to have been well received. It possesses the advantage of being distinct, and not likely to lead to contusion, and is therefore adopted here.

Type
Part I.—Original Articles
Information
Journal of Mental Science , Volume 9 , Issue 48 , January 1864 , pp. 467 - 493
Copyright
Copyright © Royal College of Psychiatrists, 1864 

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References

* The rest of the medical history of general paresis is given in Dr. Skae's paper, ‘Edinburgh Medical Journal,‘ vol. v, p. 884.-See also Morel's ‘Traité des Mal. Mentales,’ p. 805 ; and Baillarger, ‘Annales Medico-Psych.,’ Oct. 1859, p. 511.Google Scholar

* ‘De la Folie Paralytique,’ p. 27.Google Scholar

* ‘Parchappe de la Fulie Paralyt.,’ p. 13. Dr. Skae, ‘Edin. Mcd. Journal,’ rol. v, p. 885. ‘Annual Report Roy. Edin. Asylum,’ 1854. Griesinger, 2 Aufg., s. 443.Google Scholar

† The table has been found greatly to facilitate the process of recording the morbid appearances, and not only of recording, but also of analysing them afterwards, which may be found of assistance to others. It will be seen that the table is arranged in the following method. 1, External characters, and 2, Internal. The internal appear ances, are subdivided into those relating to the membranes, and 2, those connected with the brain substance; those latter again divided into the general and special characters of the cerebral matter. Under this arrangement, the particular characters are placed, and each concrete fact is numbered iu the order of its sequence; the number, therefore, can be used as a symbol or algebraic formula for the particular morbid appearance : thus, the symbols B 25, 33, stand for the following facts, that the pia mater is abnormally adherent to the grey matter, and is thickened in its texture; but iu analysing a number of cases, it is much easier to separate out all the cases in which B 25 occurs than to go through each case separately, and by the arrangement B 25 will be always found in the saine position with regard to the rest. It of course occasionally happens that a morbid appearance is confined to a portion only, that is fractional part of the brain, in which the symbol is written in the form B 25 of a fraction, thus a in this case standing for the anterior portion of one of the cerebral lobes. For in order to complete the system, a table of each known fractional portion of the brain as fornix, corpus callosa, &c., has been formed, a Greek letter afiixed to eacti item. In taking the notes, of course only the positive is stated and not the negative, but since each brain is duly submitted to examination by each item, the symbols prove also the non-existence of any particular appearance as well as the presence of others.Google Scholar

* ‘Lehrbuch der Patliol. Anat.,’ B. ii, s. 381.Google Scholar

* The preparations illustrative of these conditions I shall be very happy to show to any member of the Association.Google Scholar

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