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Journal of Neurology and Psychopathology最新文献

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PROGNOSIS AND TREATMENT 预后与治疗
Pub Date : 1934-10-01 DOI: 10.1136/jnnp.s1-15.58.180
J. Aitchison, J. Kay, I. Lauder
A DISCUSSION of the usefulness of tryparsamide in various types of neurosyphilis and a report of results. In a group of 341 cases of general paralysis clinical arrests or remissions were obtained in 54 per cent. In 306 cases of meningovascular syphilis clinical or serological cures were obtained in 78 per cent. In paresis a combination of tryparsamide and malarial therapy will be found to be desirable. R. G. G.
tryparsamide在不同类型的神经梅毒中的作用的讨论和结果报告。在一组341例全身性麻痹患者中,54%的患者临床停止或缓解。在306例脑膜炎血管性梅毒患者中,78%的患者临床或血清学治愈。在麻痹症中,tryparsamide和疟疾治疗的组合将被发现是可取的。r.g.g g。
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引用次数: 0
Reviews and Notices of Books 书评和图书通知
Pub Date : 1934-10-01 DOI: 10.1136/jnnp.s1-15.58.188
lRoticez of fBookh
Histopathology of the Peripheral and Central Nervous Systems. By George B. Hassin, M.D., Professor of Neurology, University of Illinois, etc. London: Bailliere, Tindall and Cox. 1934. Pp. 491. Price 30s. DR. GEORGE HASSIN has long been known by repute for his numerous contributions to neuropathology, and it is fitting that he has now given us a textbook on a subject of which he is a foremost exponent. His views and theories on not a few controversial questions of neuropathology may not command universal acceptance, but at least they have the merit of originality. In this book he does not obtrude them unduly, being content rather to describe than to discuss; nevertheless he has succeeded in producing a work which has a character of its own, and which fills somewhat of a gap in the English literature of neuropathology, being larger than most primers dealing with the matter yet not unwieldy and, above all, not ' padded.' On the whole, the presentation is worthy of the importance of the subject, though it is rather unequal; the chapters dealing with intracranial tumour, with inflammatory disease and syphilogenous disease are excellent; that on extrapyramidal disease is not so good-it lacks the critical touch, and contains expressions of opinion with which many will not agree and for which evidence is wanting. So far as we know no one has ever claimed that athetosis ' is a lesion of the corticospinal tract '; and it is inaccurate to aver that 'torsion spasm, athetosis, and spasmodic torticollis are practically one disease-process,' or that ' for a long time they were considered functional.' To state dogmatically that Schilder's disease is a 'morbid entity' rather overlooks the fact that its processes shade off by gradations to other diseaseconditions. What the author writes of the pathology of pellagra stands in need of amplification and some revision. Little is said of congenital malformations and defects beyond descriptions of a few of the best known. The book is finely illustrated and has useful bibliographies.
外周和中枢神经系统的组织病理学。作者:George B. Hassin,医学博士,伊利诺伊大学神经学教授等。伦敦:Bailliere, Tindall and Cox. 1934。491页。价格30年代。乔治·哈辛博士长期以来因其对神经病理学的众多贡献而闻名,他现在给我们一本关于他是最重要的倡导者的主题的教科书是合适的。他对不少有争议的神经病理学问题的观点和理论可能无法得到普遍接受,但至少它们具有独创性的优点。在这本书中,他没有过分地强迫他们,而是满足于描述而不是讨论;尽管如此,他还是成功地写出了一部独树一帜的作品,在某种程度上填补了英国神经病理学文献的空白。这部作品比大多数有关神经病理学的入门读物都要大,但并不笨重,最重要的是,没有“填塞”。总的来说,这篇文章配得上这个主题的重要性,尽管有些不相称;关于颅内肿瘤、炎性疾病和梅毒的章节非常出色;那篇关于锥体外系疾病的文章就不太好了——它缺乏批判的笔触,其中的观点很多人不会同意,而且缺乏证据。据我们所知,从来没有人声称手足动症“是皮质脊髓束的病变”;认为“扭转痉挛、手足动症和痉挛性斜颈实际上是一种疾病过程”或“长期以来它们被认为是功能性的”都是不准确的。武断地说席尔德氏病是一种“病态的实体”,而忽略了这样一个事实,即它的过程被其他疾病的逐步恶化所掩盖。作者所写的糙皮病的病理需要扩大和一些修订。很少说先天性畸形和缺陷的描述,除了一些最著名的。这本书插图精美,并附有有用的参考书目。
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引用次数: 0
PSYCHOSES 精神病
Pub Date : 1934-10-01 DOI: 10.1136/jnnp.s1-15.58.183
A GROUP of nine cases is presented in which there is a blending of schizophrenic and affective symptoms. The psychosis is characterized by a sudden onset in a setting of marked emotional turmoil with a distortion of the outside world and presence of false sensory impressions in some cases. It lasts a few weeks to a few months and is followed by a recovery. The patients were young people, in the twenties or thirties, in excellent physical health, in whom there was usually a history of a previous attack in late adolescence. The pre-psychotic personalities of the patients showed the usual variation found in any group of people. A good social and industrial adjustment, the presence of a definite and specific environmental stress, interest in life and its opportunities, and the absence of any passivity or withdrawal are some of the factors favouring recovery. C. S. R.
一组九例提出,其中有精神分裂症和情感症状的混合。这种精神病的特点是突然发作在一个明显的情绪混乱的环境中,外部世界扭曲,在某些情况下存在错误的感觉印象。它会持续几周到几个月,然后恢复。这些病人都是年轻人,年龄在20多岁或30多岁,身体非常健康,他们通常在青春期后期有过一次发作的历史。这些患者的精神病前性格表现出了在任何一组人中都能发现的常见差异。良好的社会和工业调整,存在明确和具体的环境压力,对生活及其机会的兴趣,以及没有任何被动或退缩是有利于恢复的一些因素。c.s.r。
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引用次数: 0
Neurology 神经学
Pub Date : 1934-10-01 DOI: 10.1136/jnnp.s1-15.58.176
Etb8tracts 1euroloop
Etb8裂缝1尿路
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引用次数: 0
Observations on Records of Local Epileptic Convulsions* 局部癫痫性惊厥记录观察*
Pub Date : 1934-10-01 DOI: 10.1136/jnnp.s1-15.58.97
THE varied phenomena of epilepsy and the many clinical problems with which it is associated present a perennial source of interest to the clinician. The convulsion itself presents many problems which become the more interesting the more closely they are observed, though the rapid sequence and concurrence of a number of manifestations tend to confuse clinical observation. Some of the events lend themselves to analysis by graphic record, and the following account concerns records of cerebrospinal fluid pressure, respiration, and muscular movement in six patients. Though such records fall far short of any exact quantitative measurement of muscular contraction, careful control by clinical observation allows them a measure of accuracy, and in their essential feature, namely sequence of events in time, they appear to us to be reliable evidence.
癫痫的各种现象和与之相关的许多临床问题是临床医生长期关注的问题。抽搐本身表现出许多问题,观察得越仔细,这些问题就越有趣,尽管许多表现的快速顺序和同时出现往往使临床观察混淆。其中一些事件可以通过图形记录进行分析,下面的叙述涉及6名患者的脑脊液压力、呼吸和肌肉运动的记录。虽然这些记录远远不能精确地定量测量肌肉收缩,但通过临床观察的仔细控制使它们具有一定的准确性,而且就其基本特征而言,即事件的时间顺序,它们在我们看来是可靠的证据。
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引用次数: 2
Clinical Research in Psychiatry 精神病学临床研究
Pub Date : 1934-10-01 DOI: 10.1136/jnnp.s1-15.58.172
E. Ljungberg
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引用次数: 11
PSYCHOPATHOLOGY 精神病理学
Pub Date : 1934-10-01 DOI: 10.1136/jnnp.s1-15.58.185
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引用次数: 0
PROGNOSIS AND TREATMENT 预后与治疗
Pub Date : 1934-10-01 DOI: 10.1136/jnnp.s1-15.58.187
On the other hand, an extreme hyperidrosis which presents pathology in the opposite extreme is likewise generally accompanied by subnormal galvanic reactivity. This is probably accounted for by the fact of central or peripheral exhaustion, and by the fact that in this condition the sweat-gland activity has reached its extreme physiological limit. The majority of the pathological mental conditions are characterized by subnormal electrical reactions. Prideaux has stated that dements have the least galvanic response, conversion hysterics slightly greater, the anxiety hysterics somewhat more, and normal individuals the most. Odegaard has observed that there is the least reactivity in the organic and schizophrenic psychoses, while 'neurotic' subjects and the 'constitutionally subnormal' show more, and normals the largest effects. According to Westburgh, various mental conditions give galvanic responses in the order of increasing magnitude as follows: paretics, catatonics, non-catatonic dementia pracox patients, manic-depressives, and normal persons. The impression is gained that the reduction in general galvanic reactivity in various mental conditions is more closely related to the severity of the attack than to qualitative differentiation. The traditional classifications are probably of but limited value for this sort of study, and when used should be handled with caution. C. S. R.
另一方面,极端多汗症的病理表现为相反的极端,同样通常伴有低正常的电反应。这可能是由于中枢性或外周性疲惫,以及在这种情况下汗腺活动已达到其生理极限。大多数病理性精神状况的特征是异常的电反应。Prideaux指出,元素的电反应最小,转换歇斯底里稍微大一些,焦虑歇斯底里稍微多一些,正常人最多。Odegaard观察到,器质性精神病和精神分裂症患者的反应性最低,而“神经症”和“体质不正常”患者的反应性更高,而正常人的反应性最大。根据韦斯特伯格的说法,各种精神状态下的电反应以增加的大小顺序如下:父母,紧张性痴呆,非紧张性痴呆,躁狂抑郁症患者和正常人。得到的印象是,在各种精神状态下,一般电反应性的降低与发作的严重程度的关系比与定性分化的关系更密切。对于这类研究,传统的分类方法可能具有有限的价值,使用时应谨慎处理。c.s.r。
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引用次数: 0
SENSORIMOTOR NEUROLOGY 感觉运动神经学
Pub Date : 1934-10-01 DOI: 10.1136/jnnp.s1-15.58.179
INVESTIGATION seems to show that epilepsy does not predispose to chronic pulmonary tuberculosis, or vice versa. In a series of 100 cases of epilepsy with such intercurrent tubercle in its active stages the frequency of seizures was markedly decreased in the majority of cases, with a demonstrable loss of weight. A review of the literature reveals that there is a reduced metabolic rate in epilepsy and a definitely increased rate in pulmonary tubercle, that convulsions are often absent in diseases with a high blood sugar such as diabetes and cancer, and that hyperglycaemia tends to occur in the tuberculous individual; that a normal blood-serum calcium is usual in epilepsy and that it is often found to be elevated in pulmonary tubercle, that a reduction in the sodium chloride of the blood of epileptics often reduces the frequency of convulsions, and that a constantly low blood chloride is often observed in patients with active pulmonary tubercle; that comparisons of the blood pictures in epilepsy and in pulmonary tubercle show the occurrence of hypocholesteemia and an increased rate of sedimentation of the blood in both conditions; that the pH values of the blood seem to indicate a tendency in the epileptic to approach a more alkaline reaction, and in the tuberculous patient a more acid reaction. From the above data suggestions are made as to the mechanism involved in active chronic pulmonary tuberculosis in raising the convulsion threshold in pre-existing epilepsy so that the frequency of seizures is noticeably reduced. C. S. R.
调查似乎表明癫痫并不易患慢性肺结核,反之亦然。在一系列的100例癫痫患者中,这种并发结核处于活跃期,在大多数病例中,癫痫发作的频率明显减少,体重明显减轻。对文献的回顾表明,癫痫患者的代谢率降低,而肺结核患者的代谢率明显增加,在糖尿病和癌症等高血糖疾病中通常没有抽搐,而高血糖往往发生在结核病患者身上;癫痫患者的血钙通常是正常的,而肺结核患者的血钙通常是升高的,癫痫患者血液中氯化钠的减少通常会减少抽搐的频率,活动性肺结核患者的血氯含量经常很低;癫痫和肺结核患者血液图像的比较表明,在这两种情况下,低胆固醇血症的发生和血液沉降率的增加;血液的pH值似乎表明癫痫患者倾向于碱性反应,而结核病患者倾向于酸性反应。根据上述数据,我们提出了活动性慢性肺结核在提高既存癫痫的惊厥阈值从而显著降低癫痫发作频率中的作用机制。c.s.r。
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引用次数: 0
Psychopathology 精神病理学
Pub Date : 1934-10-01 DOI: 10.1136/jnnp.s1-15.58.180-a
A DISCUSSION of the usefulness of tryparsamide in various types of neurosyphilis and a report of results. In a group of 341 cases of general paralysis clinical arrests or remissions were obtained in 54 per cent. In 306 cases of meningovascular syphilis clinical or serological cures were obtained in 78 per cent. In paresis a combination of tryparsamide and malarial therapy will be found to be desirable. R. G. G.
tryparsamide在不同类型的神经梅毒中的作用的讨论和结果报告。在一组341例全身性麻痹患者中,54%的患者临床停止或缓解。在306例脑膜炎血管性梅毒患者中,78%的患者临床或血清学治愈。在麻痹症中,tryparsamide和疟疾治疗的组合将被发现是可取的。r.g.g g。
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引用次数: 0
期刊
Journal of Neurology and Psychopathology
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