Neurosyphilis : $b Modern systematic diagnosis and treatment presented in one hundred and thirty-seven case historiesSouthard, Elmer Ernest
Science
Neurosyphilis : $b Modern systematic diagnosis and treatment presented in one hundred and thirty-seven case histories
Southard, Elmer Ernest
Neurosyphilis
Crown bald, with a slight fuzzy growth of short hairs. Scalp
slightly adherent to calvarium; latter of usual thickness but denser
than normal. Dura adherent to calvarium in region of vertex; dura
not remarkable. Sinuses normal. Arachnoid villi moderately
developed. Pia mater a trifle thickened and rather evenly throughout
the cerebral portion. Linear sulcal markings are remarkable for
their absence. The wall of the cerebellomedullary cisterna is thick
and opaque. The most prominent pial thickenings are over the
cerebellum. These are linear or may show feathery out-growths and
are seated over the sulci, particularly in the neighborhood of the
fissure and about the great cerebellar notch. They correspond fairly
well with the focal variation in consistence of underlying tissues
noted below.
=Brain= weight, 1265 grams. Consistence somewhat increased
throughout and somewhat evenly increased. The prefrontal region
shows the maximal increase of consistence but the remainder of the
frontal region and corresponding occipital region are much firmer
than normal. The two superior temporal gyri appear to be firmer than
adjacent gyri and are possibly slightly diminished in superficial
diameter. The hippocampal gyri are fairly firm. The substance on
section is a trifle more moist than normal. The gray and white
matter cut quite evenly. Diminution in depth of gray matter, if
existent, could not be demonstrated. The ventricles show a moderate
sanding throughout, best marked in the fourth ventricle. The basal
ganglia are not remarkable except for the development of numerous
dilated perivascular spaces about the lenticulostriate vessels. The
=pons= is atrophic, but more so on the right side. The pons, like
the prefrontal cortex, shows on section a distinct increase of
consistence immediately beneath the pia mater. The white bands of
the pons on section are distinctly firmer than the intervening
substance. The olives are of equal consistence. Weight of
cerebellum, pons, and medulla, 155 grams. The =cerebellum= shows an
obvious atrophic and gliotic process of a symmetrical character. The
superior surface, including both vermis and hemispheres, shows a
consistence above normal and general reduction of the depth measured
from the white matter. The reduction in depth gives rise to a
visible depression as compared with tissue posterior to the
postclival sulci. The lobus cacuminis, though slightly raised from
the surrounding lobes, is equally firm, if not firmer. The superior
and inferior surfaces show practically an equal increase of
consistence. The dentate nuclei are not especially increased in
consistence. The flocculi are reduced in size about one-third.
There was slight universal increase in consistence of =spinal cord=,
best marked in lumbar region.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account