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Two Cases of Intra-cranial Syphilis

Published online by Cambridge University Press:  19 February 2018

J. Hughlings Jackson*
Affiliation:
London Hospital, and to the Hospital for the Epileptic and Paralysed

Abstract

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Type
Part I.—Original Articles
Copyright
Copyright © Royal College of Psychiatrists, 1874

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References

It is not uncommon for paralysis to follow convulsions; as I believe the paralysis is produced by the discharge in the convulsion. I use the expression “result of a convulsion” in the text. The after effects of strong epileptic discharges deserve careful consideration. I believe that in epileptic mania, and in so-called “masked” epilepsy, the highest nervous processes are put hors de combat by a strong nervous discharge, just as the corpus striatum is in epileptic hemiplegia. On this view the raving in epileptic mania is not owing to the epileptic discharge; it begins when that discharge is over, and results from uncontrolled action of processes more automatic than those temporarily paralysed by the discharge.>>Google Scholar

I am glad to find that Dr. Buzzard agree with me in thinking that this association (of optic neuritis with one-sided convulsion) is “an important diagnostic feature.” See his lately published work on “Syphilitic Affections of the Nervous System.”>>Google Scholar

I have recorded a striking case of this kind “Med. Times and Gazette,” March 29, 1873. The patient was cured four or five times.>>Google Scholar

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