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
At the =autopsy=, it appeared that death was due to an early
bronchopneumonia associated with acute splenitis and doubtless related
to the otitis media of the left side. The body at large showed, aside
from these acute lesions, a few chronic lesions, including slight scars
of the left apex, and chronic adhesive pleuritis, chronic diffuse
nephritis, and aortic and coronary syphilis. The aorta showed slight
linear and nodular markings, with a single small dark ulcer in the upper
thoracic region, but the aorta did not show the characteristic scarring
which syphilitic aortas often show. The femoral marrow was of a dark red
chocolate color. The thyroid appeared to be smaller than normal. A
slight sacral decubitus had developed.
The description of the head (E.E.S.) is given in full on account of the
encephalitic lesions shown. These encephalitic lesions may be summed up
as follows:
Local cerebral =atrophy= and =sclerosis= of the frontal, orbital,
and central regions, especially of the left operculum and left
supramarginal gyrus.
Extension of sclerosis to hippocampal gyri with effacement of
substantia reticularis alba.
Slight chronic internal =hydrocephalus=.
Granular =ependymitis= (especially of floor of 4th ventricle).
Compensatory edema of frontal and central pia mater.
Cerebellar sclerosis (culmen monticuli, lobus culminis, lobus
cacuminis).
Spinal sclerosis (grossly evident in the posterior columns of the
upper thoracic region and of the lumbar enlargement).
The details are as follows:
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