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PROGNOSIS AND TREATMENT 预后与治疗
Pub Date : 1936-01-01 DOI: 10.1136/jnnp.s1-16.63.274
evidently as a result of disturbed renal secretion; also diabetes mellitus was present together with a moderate degree of spondylarthritis deformans and a slight degree of neuritis or radiculitis. The cramps ceased when the radiculitis became worse; they returned when the symptoms of radiculitis improved. An increase in the blood uric acid and a slight degree of radiculitis evidently were of great importance in producing painful spasms. On the other hand, metabolic changes resulting from diabetes were of no importance in the production of cramp. The spasms were diminished by a meatless diet and by decreasing the amount of uric acid in the body. The patient usually felt better in the spring and still more so in the summer than during the winter. By electrical examination the so-called myospastic reaction was demonstrated. The signs of the reaction were as follows: With a prolonged faradic current cramp in the abdominal muscles arose; this never resulted from a galvanic current. In the lower limbs irritability to galvanism was diminished for direct as well as indirect excitation but to faradism the excitability was normal in the lower limbs for direct as well as indirect excitation. The quality of the contraction was everywhere normal. AI; PROGNOSIS AND TREATMENT [117] Treatment of epilepsy with antirabic vaccine (Behandlung der Epilepsie mit antirabischen Vakzinen).-M. NIKOLIC. Munch. med. Woch., 1935, 82, 1493. A MAN, age 48, had suffered from typical idiopathic epilepsy for 38 years. For the last two years one or two epileptic fits had occurred daily. He was bitten by a dog suspected of suffering from rabies. The patient received an injection of antirabic Markvaccine Type B (Hempt) for two days and of Hirnvaccine Type A on each of the following six days. He had no fits and was well and healthy when seen three months after the first injection. It would be of interest to know if other cases of genuine epilepsy can be relieved in the same manner. M. [118] Trends in the outcome of general paresis.-HORATIO M. POLLOCK. Psychiatric Quarterly, 1935, 9, 194. THIS study comprises 10,240 first admissions, of which 8,186 were males and 2,054 females. It was found that the trend in rate of first admissions with general paresis is slowly declining, but the trend in female first admissions is rising. No change is found in trend in age-distribution of first admissions. Trends in recovery and improvement are upward and in death rates down274
显然是由于肾脏分泌紊乱所致;此外,糖尿病患者还伴有中度的脊柱畸形和轻度的神经炎或神经根炎。当神经根炎加重时,痉挛停止;当神经根炎的症状好转时,他们又回来了。血尿酸升高和轻微的神经根炎显然是引起疼痛性痉挛的重要因素。另一方面,由糖尿病引起的代谢变化在抽筋的产生中并不重要。通过无肉饮食和减少体内尿酸的量,痉挛得以减轻。病人通常在春天感觉好些,夏天比冬天感觉好些。通过电检查证实了所谓的肌痉挛反应。反应的表现如下:随着时间的延长,腹部肌肉出现痉挛;这绝不是电流造成的。在直接和间接刺激下,下肢对电激的兴奋性减弱,而对法拉第的直接和间接刺激下,下肢的兴奋性正常。所有地方的收缩都是正常的。人工智能;[117]黄志军。抗结核疫苗治疗癫痫的临床研究[j]。尼克里奇。蒙克。地中海,Woch。, 1935, 82, 1493。男性,48岁,患有典型的特发性癫痫38年。在过去的两年里,每天都有一两次癫痫发作。他被一只疑似患狂犬病的狗咬了。患者连续两天注射抗rabic Markvaccine B (Hempt),随后6天每天注射Hirnvaccine A。第一次注射后三个月,他没有痉挛,身体健康。我们很想知道其他真正的癫痫病例是否也能以同样的方式得到缓解。[118]李建平。——霍雷肖·波洛克精神病学季刊,1935,9,194。这项研究包括10,240名首次入学的学生,其中8,186名男性和2,054名女性。研究发现,全面性脑卒中患者首次入院率呈缓慢下降趋势,而女性首次入院率呈上升趋势。首次入学的年龄分布趋势没有变化。恢复和改善的趋势是上升的,死亡率是下降的
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引用次数: 0
Psychopathology 精神病理学
Pub Date : 1936-01-01 DOI: 10.1136/jnnp.s1-16.63.275
[121] A note -on the persistence of moods.-E. N. KENDREW. Brit. Jour. Psychol., 1935, 26, 165. TiE experiment here dealt with was devised to test the possibility of achieving a technique for measuring the degree of persistence of moods experimentally aroused in young children. The 20 cases fell into three groups. In nine disappointment appeared to produce persistent effects of a diminishing order of magnitude; in eight cases the persistent effect was of an increasing order of magnitude; in three cases no noticeable effects could be observed. Ji several cases a persisting conative activity showed itself in general behaviour, but the emotional disturbance had a greater effect on the natural rate of working. The experimental results are shown to fit well with general observations. Interest and fatigue influenced the results in a few cases, while two children, at least, delayed the effect of disturbance by a determined effort.
[121]关于情绪持续的注解。n KENDREW。英国人。日记账。Psychol。, 1935, 26, 165。这里的实验是为了测试实现一种技术的可能性,这种技术可以测量幼儿被实验唤起的情绪的持续程度。这20个案例分为三组。在九种情况下,失望似乎产生了持续不断的影响,而且影响程度越来越小;在8个案例中,持续效应呈递增数量级;在三种情况下,没有观察到明显的影响。在几个案例中,持续的创造性活动在一般行为中表现出来,但情绪障碍对工作的自然速度有更大的影响。实验结果与一般观测结果吻合得很好。在少数情况下,兴趣和疲劳影响了结果,而至少有两个孩子通过坚定的努力推迟了干扰的影响。
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引用次数: 0
SENSORIMOTOR NEUROLOGY 感觉运动神经学
Pub Date : 1936-01-01 DOI: 10.1136/jnnp.s1-16.63.270
enlargement was observed clinically in seven patients suffering from chroniic encephalitis treated by atropine for a prolonged period. A disturbance in tone of the musculature of the bowel appeared to be the cause of the enlarge-
临床观察到7例长期使用阿托品治疗的慢性脑炎患者脑膜肿大。肠内肌肉组织的张力紊乱似乎是肠肿大的原因
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引用次数: 0
SENSORIMOTOR NEUROLOGY 感觉运动神经学
Pub Date : 1935-10-01 DOI: 10.1136/jnnp.s1-16.62.157
THE question is discussed whether the products of disintegration arising in the body, which act on the bloodvessels, may have an influence upon the permeability of the bloodvessels in the brain. Experiments performed on dogs showed that the pharmacological representative of such substances of disintegration, viz., histamine, enables fuchsin S to penetrate into the cerebrospinal fluid. Other experiments were performed in order to ascertain the regions in which this permeability is increased by histamine. M.
本文讨论了体内产生的作用于血管的分解产物是否会影响脑内血管的通透性的问题。在狗身上进行的实验表明,这种分解物质的药理学代表,即组胺,使品红S渗透到脑脊液中。为了确定组胺增加渗透性的区域,进行了其他实验。M。
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引用次数: 0
PROGNOSIS AND TREATMENT 预后与治疗
Pub Date : 1935-10-01 DOI: 10.1136/jnnp.s1-16.62.179
chromatolysis. The number of neurons was reduced, but focal necroses were seldom present. In two other cases which showed Korsakow's syndrome, areas of arteriosclerotic softening were found, but there was no constant localization of the pathological changes. It does not seem justifiable to state that there is a selective degeneration present in chronic alcoholism, or any correspondence between severity of the clinical symptoms and the degree of corresponding brain lesions. R. G. G.
染色质溶解。神经元数量减少,但很少出现局灶性坏死。在另外两例显示Korsakow综合征的病例中,发现了动脉硬化软化的区域,但没有固定的病理变化定位。说慢性酒精中毒中存在选择性变性,或临床症状的严重程度与相应的脑损伤程度之间存在任何对应关系,似乎是不合理的。r.g.g g。
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引用次数: 0
Regarding the `Stuff' of which Dreams are Made-The Psychophysiological Basis of Dreams. 关于构成梦的“物质”——梦的心理生理基础。
Pub Date : 1935-10-01 DOI: 10.1136/jnnp.s1-16.62.144
F P Weber
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引用次数: 0
Crystal-Formations in the Spinal Fluid and their Diagnostic Significance. 脊髓液结晶形成及其诊断意义
Pub Date : 1935-10-01 DOI: 10.1136/jnnp.s1-16.62.111
K Zeiner-Henriksen
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引用次数: 1
NEUROSES AND PSYCHONEUROSES 神经病和精神神经病
Pub Date : 1935-10-01 DOI: 10.1136/jnnp.s1-16.62.167
A. Long
THE investigations of the writer started with the major anxiety attack. This somatic syndrome is composed of intense vasoconstriction of the skin (paresthesias, sensation of cold, pallor), tachycardia up to 150, inhibition of salivation, cold sweating, mydriasis, arterial hypertonus up to 150 mm. (of mercury), and relaxation of the voluntary muscle system. This indicates a stormy excitation of the sympathetic system, which may be combined at the end with parasympathetic phenomena. It was found that this syndrome could be removed by choline preparations, which by their stimulating effect on the parasympathetic nerve produced an effect exactly the opposite to the anxiety syndrome: by an intramuscular injection of 0-1 c.cm. acetylcholine the anxiety attack can be stopped also in its psychical effects, and even chronic anxiety attacks can disappear after a few days by oral administration of the choline preparations pacyl or hypotan. We can therefore suppose that the fear of an anxiety neurosis arises primarily in a somatic way. The vasoconstriction here plays an important part, and the character of the anxiety syndrome corresponding to the adrenaline effect may be traced back to a primary action of the adrenal glands. Since some sexual damage is found, such as the inhibition of normal relief, and since the anxiety could be removed both by the prevention of this and by choline preparations, this confirms Freud's theory of the damming up of libido, and Reich's theory of the origin of anxiety in a sympathetic-toxic action of the sexual hormone. The somatic genesis of neurotic anxiety can be designed in the following way. There is always a disturbance of the course of sexual irritation to be found. This results either from sexual abstinence caused by external or neurotic reasons, or from neurotic sexual hypaesthesia while relatively great libido is present, and leads, with a' certain sympatheticotonic disposition, to a strong excitation of the sympathetic system. At this point the mechanism can be interrupted by choline medication. According to the working through of the state of sympathetic excitation there results either the syndrome phrenocardia, or, with corresponding psychic preparedness, the anxiety neurosis. If this continues for some time it can become fixated and psychically worked through so that anxiety can then also arise from the psyche. The somatic neurosis only lasts for a certain time and then becomes built over in a psychoneurotic manner so that then it may only be treated by a longcontinued psychotherapy.
对作者的调查从主要的焦虑发作开始。这种躯体综合征包括皮肤血管强烈收缩(感觉异常、冷感、苍白)、心动过速高达150、唾液分泌抑制、冷汗、瞳孔收缩、动脉张力升高高达150毫米(汞)和随意肌系统松弛。这表明交感神经系统的剧烈兴奋,最后可能与副交感神经现象相结合。人们发现这种综合征可以通过胆碱制剂消除,胆碱制剂通过对副交感神经的刺激作用产生与焦虑综合征完全相反的效果:通过肌肉注射0-1 c.cm。乙酰胆碱的焦虑发作也可以在其精神影响中停止,甚至慢性焦虑发作也可以在口服胆碱制剂pacyl或hypan几天后消失。因此,我们可以假设焦虑性神经症的恐惧主要以躯体的方式产生。血管收缩在这里起着重要的作用,与肾上腺素效应相对应的焦虑综合征的特征可以追溯到肾上腺的主要作用。由于发现了一些性损害,如正常缓解的抑制,由于焦虑可以通过预防和胆碱制剂来消除,这证实了弗洛伊德关于性欲阻塞的理论,以及赖希关于焦虑起源于性激素的交感毒性作用的理论。神经性焦虑的躯体发生可以按照以下方式设计。在性刺激的过程中总是会出现干扰。这可能是由于外部原因或神经性原因引起的性禁欲,或者是由于在性欲相对旺盛的情况下神经性感觉减退,并以某种交感神经张力倾向导致交感神经系统的强烈兴奋。在这一点上,这种机制可以被胆碱药物打断。根据交感神经兴奋状态的作用,要么产生心室性心动过速综合征,要么在相应的心理准备下产生焦虑神经症。如果这种情况持续一段时间,它就会变得固定和精神上的工作,因此焦虑也会从心理上产生。躯体神经症只持续一段时间,然后以精神神经症的方式建立起来,因此它只能通过长期持续的心理治疗来治疗。
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引用次数: 0
The Pathogenesis and Treatment of Acute Anterior Poliomyelitis 急性前路脊髓灰质炎的发病机制及治疗
Pub Date : 1935-10-01 DOI: 10.1136/jnnp.s1-16.62.149
G. Reat
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引用次数: 0
Reviews and Notices of Books 书评和图书通知
Pub Date : 1935-10-01 DOI: 10.1136/jnnp.s1-16.62.185
Les Enciphalites Psychosiques. By Dr. L. Marchand and Dr. A. Courtois. With a Preface by Dr. E. Toulouse, and 31 microphotographic illustrations. Paris: Librairie E. Le Frangois. 1935. Pp. 144. Price 25 fr. BY the term 'psychotic encephalitis' is meant an inflammation of the brain that reveals itself solely by mental symptoms. These generally take the form of acute confusion, delirium, hallucinosis, and other features of a toxic psychosis; neurological symptoms are lacking. Pathologically, the lesions are partly degenerative, partly inflammatory; they are in no way specific, yet they are quite definite. There is no perivascular demyelination, and little glial reaction. The mesoderm, however, reacts, while the parenchyma is damaged. On the clinical side the authors draw particular attention to the blood urea, which in acute cases always rises and is regarded by them as constant and characteristic-so much so that they use the term ' encephalite psychosique aigue azotemique.' Subacute and chronic cases are also known; their syndromes can be schizoid, paranoid, manic-depressive, hebephrenocatatonic, etc. The authors rely on pathological anatomy to show the foundation of the symptoms, but since they admit causation is multiple it is evident that any correlation of syndromes and lesions is impossible; the various mental symptoms they describe as occurring in subacute and chronic cases can also develop in cases where the lesions specified are not found. They have done well, however, in directing attention to the fact that some forms of encephalitis are accompanied by symptoms of the psychical series alone. The explanation of this interesting peculiarity is still obscure.
精神错乱者。作者:L. Marchand博士和A. Courtois博士。配有E. Toulouse博士的序言和31张缩微照片插图。巴黎:Le Frangois图书馆,1935。144页。术语“精神病性脑炎”是指一种仅通过精神症状表现出来的脑部炎症。这些症状通常表现为急性精神错乱、谵妄、幻觉症和其他中毒性精神病的症状;没有神经症状病理上,病变部分退行性,部分炎性;它们并不具体,但却相当明确。血管周围无脱髓鞘,神经胶质反应少。然而,中胚层发生反应,薄壁组织受损。在临床方面,作者特别注意了血尿素,在急性病例中,血尿素总是升高,他们认为这是一个恒定的特征,以至于他们使用了“脑病精神病”一词。亚急性和慢性病例也是已知的;他们的症状可以是精神分裂、偏执、躁狂抑郁、精神紧张性等。作者依靠病理解剖来显示症状的基础,但由于他们承认病因是多重的,因此显然不可能将证候与病变联系起来;他们描述的在亚急性和慢性病例中发生的各种精神症状也可能在没有发现指定病变的情况下发展。然而,他们做得很好,把人们的注意力引向了这样一个事实,即某些形式的脑炎仅伴有心理系列症状。对这一有趣的特性的解释仍然模糊不清。
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引用次数: 0
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Journal of Neurology and Psychopathology
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