Neurosyphilis : $b Modern systematic diagnosis and treatment presented in one hundred and thirty-seven case histories — John Shaqi
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
A note on the Treatment section. This is manifestly not the last word or
even, we hope, our own last word, since the systematic work of the
Massachusetts Commission must be kept up for some years to get a
reliable verdict. Some of the results give rise to greater optimism than
has prevailed in asylum circles, especially re general paresis. We are
confident that _no one can now successfully make a differential
diagnosis between the paretic and the diffuse non-paretic forms of
neurosyphilis in many phases of either disease_, even with all
laboratory refinements. If this be so, it is _improper not to give the
full benefits of modern treatment to all cases in which the diagnosis
remains doubtful_ between the paretic and the diffuse non-paretic forms
of neurosyphilis. We ourselves advocate modern treatment, not only in
the diffuse, but also in early paretic forms of neurosyphilis.
It would have been out of place in a book in this Case History Series to
have dealt extensively with the history of our topic. We have
compensated inadequately for this lack by a few remarks at the head of
the Summary and Key. We are, like all others in the field, under the
inevitable obligation to Nonne of Hamburg, whose great work has gone
into three editions, the second of which has appeared in English
translation (Nonne’s Syphilis of the Nervous System, C. R. Ball,
translator). Mott’s work, embodied in a large volume of the Power-Murphy
System of Syphilis, has also been attentively consulted, as well as the
various systematic works on neurology and psychiatry. The topic of
Neurosyphilis is getting wide and appropriate attention in this country
through special journals, both those dealing with nervous and mental
diseases, and those dealing with syphilis. Syphilis is in a sense the
making of psychiatry and will go far to pushing psychiatry into general
practice.
At the last moment we have been led to deviate from our plan of
presenting only local cases familiar and accessible to us. In a section
on Neurosyphilis and the War, we present excerpts and digests of
English, French, and German cases of neurosyphilis that have appeared in
association with the war. Our own country has not suffered greatly as
yet either from the lighting up of neurosyphilis under martial stress or
from the immediate or remote effects of syphilis obtained in the unholy
congress of Mars and Venus. Space forbids a large collection of these
martial cases, but, as will be seen, a fair sample of problems is
presented.
Speaking for the moment as the senior author of this book, I wish to say
that, were it not for the energy, industry, and ingenuity of the junior
author, Dr. H. C. Solomon, the book would not have been written. Nor, in
all probability, would the systematic work of the Commonwealth on
neurosyphilis and its treatment ever have been begun. I can also accord
the highest praise to Mrs. Maida Herman Solomon for her social-service
work in this new field.
Public-domain text, read in full here on John Shaqi.
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