ISSN:0022-3018    

出版商:OVID    

年代:1896

数据来源: OVID

ISSN:0022-3018    

出版商:OVID    

年代:1896

数据来源: OVID

摘要:

The paper dealt with disorders, resulting from intestinal indigestion, and likely to be confounded with neurasthenia or mild melancholia. Three cases were reported. The first, for comparison, was of a young man who was first seen at the end of the first week of typhoid fever. He was slightly delirious, and for a week very sleepless. This condition became intensified into one of coma. Marked improvement followed the administration of calomel in laxative doses at the height of the disorder during the the third week.The second case was of a man 55 years of age, who, after an attack of dysentery, from which he had re covered, developed marked depression of spirits, tremor, nervousness and sleeplessness. There were moderate pains and rumbling in the intestines, but no symptoms of stomach dyspepsia. Milk diet, intestinal antiseptics and mild laxatives were followed by steady general improvement.The third case was of a woman who after a mental shock slowly drifted into a condition simulating mild melancholia. She cried very easily, was much afraid that she would lose her reason and be sent to the asylum, and was sleepless. The patient was very fleshy and slightly anæmic. She was put on a milk diet, and given strontium salicylate and later benzosol. Her condition improved markedly, but she remained until last seen, some months after the beginning of treatment, dependent on the maintenance of a rather strict diet. The cases were too few to warrant generalization. The writer expresses his belief that great care is necessary in distinguishing these cases from those of original neurasthenia and from cases of reflex nerve disturbances.

ISSN:0022-3018    

出版商:OVID    

年代:1896

数据来源: OVID

ISSN:0022-3018    

出版商:OVID    

年代:1896

数据来源: OVID

ISSN:0022-3018    

出版商:OVID    

年代:1896

数据来源: OVID

ISSN:0022-3018    

出版商:OVID    

年代:1896

数据来源: OVID

摘要:

Katie W—–. Age, 30 years. Was first seen November 11, 1895. The patient had the appearance of an overgrown girl.No history of Goitre or other disease in her family could be elicited. The other members of the family are perfectly healthy and normal in every respect. During infancy it was noticed that the child was short and stubby. The bones were thickened, and the tongue was large and projecting. The teeth came late, and she was unable to walk until she was three years old. At the age of two years, the mother noticed that she seemed to stop growing. She began to attend school at the age of ten years and continued to go to school until just before presenting herself for treatment. She progressed slowly at school, but learned writing, reading, and the rudiments of arithmetic. Menstruation appeared first at the age of twenty-six years. After the beginning of this function there was notable gain in several respects. On examination, the following points were noted: The patient's height was 1123/4 centimeters; weight 74 pounds. Her appearance was typical of myxoedma. The face was short and round, the lips thick, especially the lower, which hung down. The tongue was contained within the mouth and while of full size, was not notably larger than normal. The teeth were widely separated, the upper jaw containing nine and the lower ten. The hair was coarse and scanty. The breasts were moderately developed and pendulous. The thyroid gland could not be detected. The hands were clumsy. The feet and legs were cold, and the skin in some places was rough and scaly. The voice was like that of a child of twelve years, and the intelligence corresponded with that of one of that age. The patient was given three grains of desiccated thyroid gland three times a day, and marked improvemement immediately followed its administration.The following measurements show the change in height and weight which took place under treatment:Weight Height.July 15, 1895, 677/8“ 115.8”November 11,1895, 74 lbs. 1123/4c.m.

ISSN:0022-3018    

出版商:OVID    

年代:1896

数据来源: OVID

摘要:

The accurate localization of a cerebral growth is never easy, and it should always be borne in mind that there are many cases in which tumors of the mid brain give rise to symptoms, which closely resemble those of a growth in the motor area. Even in cases which have been carefully studied for a long time, no tumor has been discovered on operation, although after death the growth has been found deep seated. Growths, which are most likely to cause errors of diagnosis are those, which begin in silent regions, like the frontal lobe, for example, and which encroach gradually upon the motor area. The writer referred to the statistics collected by Starr. Up to 1896 there were 162 cases, in which the operation of trephining was done for brain tumor; of these cases the tumor was successfully removed, and the patient recovered in 72, and 48 cases, that is in about 30% no tumor was found at the operation. In 35 patients the tumor was successfully located and removed, but the patient died. Out of several hundred cases of brain tumor, which have been studied post mortem by different ob servers, it was estimated, that but 7% could have been successfully removed had operations been attempted before death.The writer called attention to the great improvement in the results in brain surgery. In the past three years a much greater percentage of cases have recovered and this is probably owing to the fact that the operations have been done by more skilled surgeons. The writer quoted two cases, which illustrated the difficulty of locat-

ISSN:0022-3018    

出版商:OVID    

年代:1896

数据来源: OVID

摘要:

The case reported concerns a woman who suffered an apoplectic stroke from embolism. After the general symptoms of the insult had passed away, right hemiplegia with motor aphasia, alexia and agraphia remained. At the time of the first examination, about 10 months after the apoplectic insult, the aphasia was almost entirely recovered from, but the faculties of reading and writing were still greatly altered. Vision 10/10 on both eyes. Normal visual fields. Sense of color perception normal. In short, no visual disturbances of any kind.The interesting features of the case were:1st. Marked disturbances of the faculty of reading, but the patient can read words better than spell them; she often reads a word correctly but spells it wrongly. In some instances it can be shown that she spells from the sound of the word read. She, for instance, reads “one” correctly but spells it w, o, n. These facts tend to prove that Grashey and Wernicke are wrong in stating that reading is always done by spelling.2d. Written characters are read with more difficulty than printed ones.3d. Copying is done better than dictation-writing which may be explained from the fact that in copying the memory has to be taxed much less, as the patient has the text to be copied from constantly before her eyes. A similar explanation may be given for the fact that dictation writing is much more impaired than reading if we further keep in mind that both these functions are in intimate connection with the motor-speech concepts.Although the motor-speech concepts had been recovered, their association with the visual memories (for reading) and the indirect association (over the sound memories) with the graphic motor memories had not

ISSN:0022-3018    

出版商:OVID    

年代:1896

数据来源: OVID

ISSN:0022-3018    

出版商:OVID    

年代:1896

数据来源: OVID