Book Description

Excerpt from The Journal of Nervous and Mental Disease, 1910, Vol. 37: Official Organ of the American Neurological Association, the New York Neurological Society, Boston Society of Psychiatry and Neurology, the Philadelphia Neurological Society and the Chicago Neurological Society The table displays these cases of clinical general paresis to gether with the true diagnoses based on post mortem evidence. The table also includes two cases of general paresis unexpectedly found post mortem in the residue of 186 cases of this series (247 less 61 paretic). Seventy per cent. Of the cases in which general paresis was certain, probable, or even prominently considered, proved histo pathologically cases of general paresis. Less than I per cent. Of a series of 186 cases in which the diagnosis of general paresis was not considered, proved to be instances of general paresis. It is clear that the errors in diagnosis found in the clinically certain group are of the first importance in our diagnostic study. 85 per cent of these cases obtained the correct diagnosis at staff meeting. What is the cause of incorrect diagnosis in the remain ing 15 per cent? There were six of such cases, and it seems worth while to present abstracts of the clinical histories and autopsy protocols in these cases. The first wrongly diagnosed case was that of E. C., D. I. H. 11987, Path. Lab. 893, and has been amply described by Prof. A. M. Barrett as a case of severe progressive arteriosclerotic brain atrophy with tabes-like complications in his Study of Mental Diseases Associated with Cerebral Arteriosclerosis, Am. Four. Insanity, LXII, I, 1905, pp. 48 - 50. The confusing feature from the standpoint of diagnosis was the tabes-like picture; and histo pathologically there proved to be, in addition to bilateral pyra midal tract disease, a lumbosacral tabes or tabetiform disease. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.