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PROGNOSIS AND TREATMENT 预后与治疗
Pub Date : 1936-07-01 DOI: 10.1136/jnnp.s1-17.65.88
J. Aitchison, J. Kay, I. Lauder
FROM his work the writer concludes that the toxic and Sudanophil granule estimations appear to follow the course of the psychosis, varying directly with the intensity of the disorder. The gradual improvement in the counts observed in recovering cases must be ascribed in part to the general detoxication which is instituted in each patient soon after admission. Though it would be rash to infer from only a few examinations that these estimations have definite and prognostic value, it is suggested that they may prove of considerable assistance. C. S. R.
从他的工作中,作者得出结论,毒性和嗜苏丹性颗粒的估计似乎遵循精神病的过程,与疾病的强度直接变化。在康复病例中观察到的计数的逐渐改善必须部分归因于每个病人入院后不久建立的一般解毒。虽然仅从几项检查中推断这些估计具有明确和预测价值是轻率的,但建议它们可能证明有相当大的帮助。c.s.r。
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引用次数: 0
Traumatic Aphasia and Alexia. 创伤性失语症和失读症。
Pub Date : 1936-07-01 DOI: 10.1136/jnnp.s1-17.65.74
A R Short
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引用次数: 1
The Body Type of the General Paralytic. 全身瘫痪者的身体类型。
Pub Date : 1936-04-01 DOI: 10.1136/jnnp.s1-16.64.363
A Guirdham
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引用次数: 1
état Marbré 鼬状态
Pub Date : 1936-04-01 DOI: 10.1136/jnnp.s1-16.64.341
A. Meyer, L. Cook
THE condition known as 6tat marbr6 was first described fully by C. Vogt 24 in 1911 under the name of status marmoratus and has since been the subject of considerable interest and study. Nevertheless no full description has as yet appeared in any English journal, and therefore a brief introductory summary of the main clinical and pathological features may not come amiss. On the clinical side, the condition usually manifests itself from earliest infancy, development is retarded and more or less severe mental defect is of constant appearance. The picture is one of double choreoathetosis, sometimes combined with epilepsy. Loss of emotional control is a prominent feature, and inability to use the muscles of expression and articulation sometimes occurs. In the majority of cases the condition remains stationary; in others severe generalized paralysis, often with torsion spasm and other contractures, eventually supervenes, and death occurs before or during early adult life. Pathologically the most striking feature is the peculiar marblelike appearance of certain areas of the striate body and to a lesser degree of other parts of the brain. The clinical picture, sometimes known as Vogt's disease, is considered by some to be sufficiently characteristic to be diagnosed during life, but, as we shall point out later, there are reasons for believing that the condition is not a clear-cut clinical or pathological entity. Although uncommon, the condition is probably not so rare as might at first appear. It is probable that the majority of cases have failed to come under the care of competent neurologists; some may have been attributed to meningitis or encephalitis lethargica, while others have almost certainly been overlooked in institutions or elsewhere amongst a mass of heterogeneous cerebral palsies of childhood.
1911年,C. Vogt首次以状态性marmoratus的名义完整地描述了这种被称为marbr6的疾病,此后一直是人们相当感兴趣和研究的主题。尽管如此,还没有完整的描述出现在任何英文杂志上,因此简要介绍一下主要的临床和病理特征可能不会出错。在临床方面,这种情况通常从婴儿期开始表现出来,发育迟缓,或多或少严重的精神缺陷不断出现。双重舞蹈症,有时合并癫痫。失去情绪控制是一个突出的特征,有时会出现无法使用表达和发音的肌肉。在大多数情况下,条件保持不变;在其他患者中,严重的全身性麻痹,常伴有扭转痉挛和其他挛缩,最终发生,死亡发生在成年前或成年早期。在病理学上,最显著的特征是纹状体的某些区域和大脑的其他部分在较小程度上具有独特的大理石状外观。临床表现,有时被称为Vogt病,被一些人认为具有足够的特征,可以在生活中诊断出来,但是,正如我们稍后将指出的那样,有理由相信这种情况不是明确的临床或病理实体。虽然不常见,但这种情况可能并不像乍看起来那么罕见。很可能大多数病例都没有得到称职的神经科医生的照顾;有些可能归因于脑膜炎或昏睡性脑炎,而其他的几乎肯定被机构或其他地方忽视了,在大量的异质性儿童期脑瘫中。
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引用次数: 0
Neurological Therapeutics 神经疗法
Pub Date : 1936-04-01 DOI: 10.1136/jnnp.s1-16.64.369
I T has occasionally been said of organic diseases of the nervous system that while constituting a most interesting field of study in applied physiology and pathology, they are therapeutically destitute. An ardent neurologist might have replied that treatment in organic neurology at all times compared favourably with that in organic medical diseases, such as chronic conditions of the heart, liver and kidneys. We utter a truism in adding that all advance in knowledge of the setiology, pathology and diagnosis of a disease inevitably leads to increased understanding of the possible means of treatment. It is to these aspects of organic disease of the nervous system that most neurological research has been directed, with many brilliant results. Nevertheless, in reviewing the progress of neurology during recent years, it is evident that increasing attention has been paid to treatment per se and that the advances have been considerable. Several diseases, formerly considered almost untreatable apart from general care and management, are now subjected to direct attack. Foremost among these is that form of progressive syphilitic meningoencephalitis, popularly though unfortunately known as ' general paralysis of the insane.' The application of malarial therapy undoubtedly inhibits the malady in the majority of early cases with the result that after a number of years, varying from two to six, the cerebrospinal fluid becomes normal, losing its increased protein content, positive Wassermann reaction and Lange curve. Patients are known among the first to be treated in this country-some 14 years ago-who still survive and in some instances remain useful members of society. An average of the available statistics indicates that approximately 35 per cent. of all cases treated-irrespective of the stage of the disease-show good and lasting remissions, while in a fair proportion of the remainder improvement or arrest of the disease occurs. Compare this with the prognosis invariably given prior to the introduction of malarial treatment
偶尔有人说,神经系统器质性疾病虽然构成了应用生理学和病理学中最有趣的研究领域,但在治疗上却很贫乏。一位热心的神经学家可能会回答说,有机神经病学的治疗在任何时候都比有机医学疾病(如心脏、肝脏和肾脏的慢性疾病)的治疗要好。我们要说出一个不言自明的事实,即在一种疾病的分类学、病理学和诊断方面知识的一切进步都不可避免地导致对可能的治疗手段的更多了解。大多数神经学研究都是针对神经系统器质性疾病的这些方面,并取得了许多辉煌的成果。然而,回顾近年来神经学的进展,很明显,治疗本身受到越来越多的关注,并且取得了相当大的进展。有几种疾病,以前被认为除了一般护理和管理几乎无法治愈,现在却受到直接攻击。其中最主要的是进行性梅毒脑膜脑炎,通常被称为“精神病全身性麻痹”。毫无疑问,在大多数早期病例中,疟疾疗法的应用抑制了这种疾病,其结果是,若干年后,从2年到6年不等,脑脊液恢复正常,失去其增加的蛋白质含量,阳性的Wassermann反应和Lange曲线。大约14年前,在这个国家第一批接受治疗的病人中,有一些仍然活了下来,在某些情况下仍然是对社会有用的成员。现有统计数据的平均值表明,在接受治疗的所有病例中,大约35%的病例——不论疾病的阶段如何——表现出良好和持久的缓解,而其余相当比例的病例病情得到改善或控制。与此相比,在引入疟疾治疗之前总是给出的预后
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引用次数: 0
état Marbré. 鼬状态。
Pub Date : 1936-04-01 DOI: 10.1097/00005053-193703000-00022
A Meyer, L C Cook
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引用次数: 0
Tonic Pupils with Absent Tendon Reflexes in Mother and Daughter. 强直瞳孔与无肌腱反射的母女。
Pub Date : 1936-04-01 DOI: 10.1136/jnnp.s1-16.64.367
G de M Rudolf
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引用次数: 8
Multiple Metastatic Tumours in the Brain arising from Primary Bronchial Carcinoma. 原发性支气管癌引起的多发性脑转移瘤。
Pub Date : 1936-04-01 DOI: 10.1136/jnnp.s1-16.64.289
W E Dickson, C Worster-Drought
THE clinical and pathological investigation of multiple metastatic tumours of the brain arising from primary bronchial carcinomas is full of snares and pitfalls for the neurological physician, surgeon and pathologist; and, although bronchogenic carcinoma with secondary growths in the brain produces a now fairly well recognized and not uncommon syndrome, its diagnosis is still sometimes made only in the post-mortem room; and even there difficulties may occasionally arise in its recognition. Ten years ago, in a text-book 1 for which one of us, together with Professor J. M. Beattie, was responsible, the statement was made that 'Primary tumours of the lung are extremely rare. Osteomas, chondromas, and sarcomas occur, but the most usual primary tumours are columnar-celled cancers-originating, probably, from some part of the bronchi or from the mucous glands '; while under the heading ' Tumours of the Brain ' we merely stated that 'Secondary cancer is also rare.' Similarly, Ewing, in the third edition (1928) of his book, Neoplastic Diseases, p. 851, gives the frequency of primary malignant tumours of the lung at about 1 per cent. of all cancers, his statistics being taken from between 16,000 and 17,000 autopsies on cancer cases. These statements now require modification, as both in our own experience and in that of others, the frequency of bronchial carcinomas-whether they are described as such or as ' Oat-celled Sarcoma of the Mediastinum ' 2 3: as' Tumours of the Mediastinum and Lung' 4: as' Primary Lung Tumours,' 5
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引用次数: 3
Neurological Therapeutics. 神经疗法。
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引用次数: 0
Psychopathology 精神病理学
Pub Date : 1936-04-01 DOI: 10.1136/jnnp.s1-16.64.375-a
INJURY to both occipital lobes of the brain was a result of a gunshot lesion affecting the posterior part of the skull. As in other cases seen during the war a distinct localization was observed for different qualities of optic disturbance. Blindness for the form of objects was an isolated defect more definitely observed than in any case previously examined. Deficient perception of form and shape was limited to the visual sphere and no disturbance was observed with regard to form and shape in any other region of the brain, e.g. by touching, writing and drawing. Goldstein and Gelb previously described a disturbance for visual form not limited to the visual region in a case of a lesion of the occipital lobe, but according to Kleist's opinion this resulted from a brain lesion outside the visual sphere. M.
大脑的两个枕叶的损伤是由于枪伤影响了头骨的后部。正如在战争期间看到的其他情况一样,不同质量的光学干扰在不同的位置被观察到。对物体形状的失明是一种孤立的缺陷,比以往任何研究都更明确地观察到。对形状和形状的感知缺陷仅限于视觉领域,在大脑的任何其他区域,例如触摸、书写和绘画,都没有观察到形状和形状的干扰。Goldstein和Gelb先前描述了一种视觉形式的障碍,在枕叶病变的情况下,不限于视觉区域,但根据Kleist的观点,这是由视觉领域外的大脑病变引起的。M。
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引用次数: 0
期刊
Journal of Neurology and Psychopathology
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