A system of practical medicine. By American authors. Vol. 5 : $b Diseases of the nervous system
Science
A system of practical medicine. By American authors. Vol. 5 : $b Diseases of the nervous system
Medicine -- Practice
(_B_) The organic mental diseases affecting the psychic functions
(cerebro-psychoses), differing from (_A_) chiefly in being
deeper-seated: (1) With motor symptoms of excitement (acute mania):
(_a_) Mania furiosa (including mania transitoria); (_b_) mania gravis;
(_c_) acute delirious mania. (2) With motor neuroses and symptoms
resembling catalepsy, tetanus, and anergic stupor, or the various
forms of Spannungsneurosen: (_a_) Melancholia attonita; (_b_)
delusional stupor; (_c_) primary dementia (stupor), acute and chronic.
(3) With progressive paralysis, the typical form of paralytic
dementia.
(_C_) The distinct lesions of the brain, giving rise secondarily to
psychical disturbances. The modified paralyses or cerebral diseases in
which dementia and paralysis are both observed clinically: (_a_)
Meningo-periencephalitis, chronic and subacute; (_b_) pachymeningitis
and hæmatoma; (_c_) diffuse encephalitis with sclerosis, without
mental excitement and with mental excitement; (_d_) diffuse
encephalitis with local softening, apoplexy, capillary aneurisms in
groups or singly, multiple sclerosis; (_e_) diffuse encephalitis
arising from foreign growths in the brain; (_f_) chronic {108}
periencephalitis, with previous tabes dorsalis; tabic paralysis: (_g_)
primary atrophy of the brain, with accompanying spinal tabes, tabic
dementia; (_h_) syphilitic encephalitis, with disturbances of the
mind.
Krafft-Ebing's classification is as follows:
_A_. Mental Diseases of the Normal Brain.—I. Psychoneuroses: 1.
Primary, curable diseases: _a_, Melancholia—_α_, Simple melancholia;
_β_, melancholia with stupor; _b_, Mania—_α_, Maniacal exaltation;
_β_, acute mania; _c_, Stupidity (primary dementia) or curable
dementia; _d_, confusional insanity (Wahnsinn). 2. Secondary,
incurable diseases: _a_, Chronic delusional insanity; _b_, terminal
dementia—_α_, with agitation; _β_, with apathy.
II. Conditions of Mental Degeneration.—_a_, Constitutional affective
insanity (folie raisonnante); _b_, moral insanity; _c_, primary
monomania—_α_, With delusions of persecution; _β_, with delusions of
ambition; _d_, with imperative conceptions; _e_, insanity from
constitutional neuroses—_α_, epileptic; _β_, hysterical; _γ_,
hypochondriacal; _f_, periodic insanity (folie circulaire).
III. Diseases of the Brain with Mental Disturbances
Predominating.—_a_, Paralytic dementia; _b_, cerebral syphilis; _c_,
chronic alcoholism; _d_, senile dementia; _e_, acute delirium.
_B_. Conditions of Arrested Mental Development.—Idiocy and cretinism.
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