None
921 Headache as cerebral symptom, 196 in brain abscess, 246 lesions, 196 tumors, 264 in cerebral syphilis, 491 in encephalic syphilis, 494 in epilepsy, 644 in leptomeningitis, 81 in lesions of cerebellum, 193 in migraine, 655 in neurasthenia, 594 in pial hemorrhage, 78 in tubercular leptomeningitis, 93 meningitis, 93 in tumor of brain, 264 lead cap, 594 occipital, in cerebellar disease, 193 sick, 653 Health, electrical tests in, 42 • Hearing, affections of, 133 in leptomeningitis, 83 center for, 173 electrical testing of, 49 hallucinations oT, 730 illusions of, 733 in facial paralysis, 128 in idiocy, 870 testing of, 65 Heart disease in etiology of insanity, 718 Hebephrenic form of clementia praecox, 807 insanity, 722 Hebetude from tumors in corpus cal- losum, 188 Heboidophrenia. 807 Heel-tendon reflex, 37 Heine-Medin's disease, 388 Hematoma auris, 753 of dura mater, 74 Hematom^elia, 362 diagnosis of, 364 etiology of, 362 morbid anatomy of, 363 prognosis of, 364 symptoms of, 363 treatment of, 364 Hemianesthesia in cerebral hemorrhage, 214 Hemianopic pupillary reaction, 104 Hemianopsia, double homonymous, ex- planation of production of, 103 explanation of production of, 101 from cerebral hemorrhage, 214 in tumor of brain, 266 Hemiatrophy, facial, from disease of trifacial nerve, 120 Hemicordal lesion, effect of, on sensa- tion, 56, 57 Hemiplegia, 29, 215 associated movements in, 215 causes of, 215 circulatory disturbances in, 217 complications of, 218 contractures in, 215 from cerebral hemorrhage, 213 gait in, 216 hemianesthesia in, 217 Hemipl^a, hysterical, 629 in brain-tumor, 266 in central softening, 227 in cerebral palsies of children, 250 position of upper extremity in, 217 Hemiplegic gait, 216 state, 215. See also Hemiplegia. Hemorrhage, cerebellar, 220 cerebral, 209 apoplectic state in, 212 cumcal forms of, 219 course of, 218 diagnosis of, 220 differential diagnosis of, 220 etiology of, 211 hemipie^ from, 215 patholo^cal anatomy of, 210 prognosis of, 221 sensory disturbances in, 214 symptoms of, 212 treatment of, 222 trophic disturbances in, 214 extradural spinal, 284 extrapial, 76 into spinal cord, 362. See also Hemor tomyelia. into tumor of brain, 267 intrapial, 77 meningeal, 76 pial, 76 spinal meningeal, 284 diagnosis of, 285 etiology of, 284 morbia anatomy of, 285 - prognosis of, 286 symptoms of, 285 treatment of, 286 subdural spinal, 284 Hereditary cerebellar ataxia, 469 cerebrospinal syphilis, 498 degeneracy, 691 spastic paraplegia, 475 prognosis of, 476 symptoms of, 475 treatment of, 475 tropho-edcma, chronic, 552 Heredity in etiology of insanity, 689 neurotic importance of, 18 Herpes labialis in leptomeningitis, 83 zoster, 337 degeneration in peripheral nerves in, 338 spinal cord in, 338 diagnosis of, 339 distribution of, 339 etiology of, 337 pathology of, 338 symptoms of, 338 treatment of, 339 Herpetiform morphea, 634 Heterophoria, 63 Hiccup, 147 Hide-bound disease, 534 Hip-roofed palate, 701, 704 History, family, in insanity, 758 of patient in insanity, 758 Horizontal localization of cord-lesions, 351 922 INDEX. Hot-baihff in combined sclerosis of cord, 466 in leptomeningitis, 87 in multiple neuritis, 336 in tubercular leptomeningitis, 96 Huntington's chorea, 570 disease, 570 diagnosis of, 571 etiolojgy of, 570 morbid anatomy of, 570 symptoms of, 571 Hutchinson's teeth, 705 Hydrocephalic cry, 93 Hydrocephalus, 273 acute, 91. See also LepUnneninffitiBf tvberctUar. course of, 275 diagnosis of, 275 etiology of, 273 external, 273 internal, 273 morbid anatomy of, 273 prognosis of, 276 symptoms of, 274 treatment of, 276 Hydromyelocele, 387 Hydrophobia, 556 diagnosis of, 557 morbid anatomy of, 556 Negri bodies in, 556 symptoms of, 556 treatment of, 558 Hydrotherapy in exophthalmic goiter, 532 in insanity, 774 in psychasthenia, 605 Hyoscin in epilepsy, 858 in etiology of insanity, 716 in mania, 789 in mental disease, 777 in myoclonia, 573 in Parkinson's disease, 580 in senile dementia, 813 in torticollis, 152 Hyoscyamin in epilepsy, 858 in etiology of insanity, 716 in mania, 789 in mental disease, 777 H5rperacusis, 133 Hyperageusia, 67 Hyperalgesia, 55 in mental disease, 734 in tabes dorsalis, 440 Hyperemia, cerebral, 202. See also Cereal hyperemia. Hyperesthesia, 55 auditory, 65, 133, 134 from lesions of spinal cord, 349 hysterical, 619 in mental disease, 734 in multiple neuntis, 325 Hyperhedonia, 735 Hyperostosis cranii, 548 Hyperpituitarism, 502 Hyperthyroidation, 524 Hypertonus of muscles, 32 Hypertrophic trophoneuroses, 548 Hypertrophies, localised, 550 unsynunetrical, 552 Hyphedonia, 735 Hypnotism, 674 in insanity, 780 in treatment of hysteria, 638 methods of inducmg, 674 uses of, 675 Hypnotizing, methods of, 674 Hypochlorhydria in insanity, 754 Hypochondriacal melancholia, 790 paralysis, 752 H3rpochondriajBis, 745 c^ect of, on actions, 751 senile, 812 Hypo^ossal nerve, anatomical tions of, 154 paralysis, 155 spasms/* 154 Hypojjslossus, affections of, in leptomen- ingitis, 83 Hypomania, 787 Hypophysis cerebri, overactivity of, 502 trophoneuroses related to, 502 underactivity of, 502 Hypopituitarism, 502 Hypotonus of muscles, 32 Hysteria, 610, 851 aboulia in, 621 accidents in, 621 achromatopsia in, 615 agraphia in, 632 anmesia in, 610, 620 anesthesia in, 613 distribution of. 616 peculiarities ot, 617 angina pectoris in, 632 anorexia in, 633 anuria in, 633 aphonia in, 632 arc de cercle in^ 624, 625 astasia abasia m, 630 attacks of ecstasy in, 627 of sleep in, 627 aura of. 622 cephalalgia in, 631 clonic phase of, 622 contractures of, 628 cough in, 630, 632 coiu-se of^ 635 coxalgia m, 630 dermographism in, 635 diagnosis of, 636 digestive apparatus in, 633 dyschromatopsia in, 614 dysphagia in, 633 dyspnea in, 633 epileptoid attacks in, 627 period of, 622 etiology of, 621 fever of, 634 globus in, 122, 627 grand attacks of, 622 earing in, 614 hemiplegia in, 629 hyperesthesia in, 619 impressionability in, 621 INDEX. Hysteria in etiology of insanity, 719 modified attacks of, 626 monoplegia in, 629 motor accidents of, 628 movements in, 619 muscular atrophy in, 635 nodding spasm in, 630 paralysis of, 628 period of clownism, 623 of delirium, 626 of passional attitudes^ 625, 626 phase of contortions of, 625 of grand movements of, 625 of resolution of, 623 pro^oeis of, 636 ptosis in, 629 pulmonary congestion in, 632 reflexes in, 617, 618, 628 respiratory affections in, 627 rhvthmical spasms in, 630 saltatory chorea in, 630 sensory accidents of, 631 simulation in, 621 smeU in, 614 somnambulic attacks in, 627 spasmogenic zones in, 619 special senses in, 614 spinal irritability in, 632 stigmata of, 613 mental, 620 motor, 619 sensory, 613 symptoms of, 612 syncopal attacks of, 627 taste m, 614 tetanic attacks in, 626 tics in, 631 tonic phase of, 622 torticollis in, 629 trance in, 627 treatment of, 637 general, 637 special, '638 tremors in, 631 trophic accidents of, 634 t3rmpanite8 in, 633. IdiocYi traumatic, 866 voluntary movements in, 872 will in, 884 Idiopathic muscular spasm, 38 progressive muscular atrophy, 414. See also Progressive rmuxvlca' aUra- phy. Idiotis, education of, 900 savants, 866 Iliac point, 313 Illness, the examination of, 20 Illusions, 733 origin of, 734 Imitation in etiology of insanity, 724 Imperative ideas, 747 Inanition delirium, 718 Incoherence, 743 Incontinence, urinary, 23 Incoordination, detection of, 30 Incubus, 671 Indicanuria in insanity, 755 Indifferent electrode. ^ Indiscriminate cord-lesions, 362 Infantile cerebral palsies, 248. See also Cerebral palsies of children. type of muscular atrophy, 423 Infantilism, 518 Infection neuroses, 553 Infective sinus thrombosis, 236. See also Sinus thrombosis. Inflammation of brain, 240 of nerves, 289. See Neuritis. Inflammatory sinus thrombosis, 236 Ingravescent apoplexy, 219 Inherited S3rphilis as a predisposing cause to nervous disease, 18 Insane, asylums for, 708 ear, 743 isolation of, 770 moral treatment of, 778 Insanity, 679 accompanjdng physical diseases of, 751 acute treatment of, 772 age in, 699 alcohol in etiology of, 714 attitude in, 759 behavior in, 759 chronic delusional, 827. See also Paranoia. circular, 794. See also Circular in- sanity. classification of, 681 commotion, 720 definition of, 679 diet in, 774 disorders of sensation in, 729 drugs in, 777 electrotherapy in, 776 epileptic, 851 acute transitory, 854 chronic, 855 treatment of, 855 etiology of, atheromatous arteries in, 718 atropin in, 716 carcmoma in, 718 cocain in, 716 Insanity, etiolo^ of, epilepsy in, 719 exhaustion m, 721 gastro-intestinal disorders in, 718 genital disease in, 718 hashish in, 716 head injuries in, 720 heart disease in, 718 hysteria in, 719 imitation in, 724 infections in, 718 menopause in, 722 metallic i)oisons in, 717 morphin in, 715 nephritis in, 718 organic nervous disease in, 719 phvsiolo^cal factors in, 721 puberty in, 721 puerperal staXe in, 722 senihty in, 723 syphilis in^ 717 tuoerculosis in, 718 various poisons in, 717 examination in, methods, 756, 761 general etiology of, 689 symptomatology of, 728 treatment of, 767 hebephrenic, 722 heredity in, 689 hydrotherapy in, 774 hypochlorhydria in, 754 hysterical, 851 manic-depressive, 781 . See also ManiC' depressive insanity. mannerisms in, 760 massage in, 774 menstruation in, 755 moral causes of, 723 motor disorders in, 752 paralyses in, 752 physiognomy in, 759 progressive systematized, 827 prophylaxis of, 769 psychotherapy in, 771 reciprocal-, 724 reflex disorders of, 753 rest-cure in, 773 secretory disorders in, 753* sensory disorders in, 752 sex in, 689 strain in, 714 temperature changes in, 755 toxic influences in, 714 traumatic, 720 trophic disorders in, 753 urine in, 754 vascular disorders in, 756 Insomnia, 668 etiology of, 668 symptoms of, 668 treatment of, 669 Insular sclerosis, 479. See also Multiple cerebrospinal sclerosis. Integument, examination of, 25 InteUi^ence, testing of, 763 Intention tremor, 30 in multiple sclerosis, 483 Intermittent limping, 543 INDEX, 925 Intermittent limping, treatment of, 544 mania, 787 Tntermittirende Hinke, 543 Internal capsule, function of, 186 lesions of, effect of, on sensation, 57 motor paths in, 186 sensory paths in, 186 Intrapiid hemorrhage, 77 Intrapsychic ataxia, 806 Invasion symptoms, 194 Involution melancholia, 799 course of, 801 prognosis of, 801 symptoms of, 800 treatment of, 801 lodid of potassium in bronchial asthma, 146 lodids in cerebral hemorrhage, 223 in cerebrospinal syphilis, 498 in intermittent limping, 544 in leptomeningitis, 88 in neuritis, 293 Iodoform, injection of, within dura in tubercular leptomeningitis, 96 ointment for leptomeningitis, 88 Iridoplegia, 63 Iron m chorea, 569 in multiple neuritis, 336 in neurasthenia, 601 Irradiation, 737 Irresein, 679 Irritability, 739 Irritative brain-lesions, 194 Irrsinn, 679 Isolation of insane, 770 Jacksonian convulsions, 32 in cerebral softening, 227 fits, 573 Jaw-jerk^ production of, 34 Jendrassik 8 method of reinforcing knee- jerk, 36 Jomts, Charcot^ 40, 451 motility of, m infantile cerebral pal- sies, 252 testing sensibility of, 54 trophic disorders of, 40 Judgment, weakness of, 748 Jumpers, 608 Juvenile atrophy, 423 tabes, 457 variety of idiopathic muscular atrophy, 423 KAKroRosis, 787 Kakk^, 317, 331 Keel-shaped skull, 696 Kemig's sign in leptomeningitis, 82 in tetanus, 553 Knee-jerk, 36 reinforced by Jendrassik's method, 36 Kocher's ventil operation in idiocy, 907 Koch's bacillus in leptomeningitis, 79 Korsakoff's psychosis, 715 senile, 812 Lability of phenomena, 740 Labioglossolaryngeal paralysis, 159. See also Polioencephalilis inferior chronica. Labyrinth tests, 138 Labyrinthial disturbance in tabes, 445 Lachrymal reflex in hysteria, 616 LalUng, 68 Landholt's rule in testing diplopia. 111 Landouzy-D^j^rine type of muscular atrophy, 423 Landry's paralysis, 376 course of, 379 diagnosis of, 379 etioloor of, 377 morbid anatomy of, 378 prognosis of, 379 symptoms of, 378 treatment of, 379 Laryngeal crisis, 448 epilepsy, 144 muscles, action of, 142 nerves, 141 palsies in tabes, 448 paralyses, 142 abauctor, 142 adductor, 142 complete bilateral, 144 diagnosis of, 142 of tensors, 143 treatment of, 144 spasm, 144 stroke, 448 Larynx, anesthesia of, 144 Latah, 608 Latent lesions of cerebral cortex, 173 LateropuLsion, 577 Lathyrism, 476 Law of regression, 736 Lead in etiology of insanity, 717 Lead-cap, headache, 594 Lead-palsy, 329 prognosis of, 334 treatment of, 335 Leg sign in tetany, 539 Length-breadth index, 696, 699 Lenticular degeneration, progressive, 189 Leontiasis ossea, 548 Leprosy, Asturian, 476 Leprous neuritis, 332 Leptocephsdus, 695 Leptomeningitis, 78 acute, spinal, 280 course of, 282 diagnosis of, 282 etiology of, 280 morbid anatomy of, 281 Osier's classification of, 79 prognosis of, 283 S3rmptoms of, 281 treatment of, 283 chronic, 98 spinal, 284 morbid anatomy of, 284 prognosis of, 284 symptoms of, 284 treatment of, 284 course of, 84 926 INDEX. LeptomeniDgitis, diagnosis of, 85 aiplococcus variety, 90 etiology of, 78 headache in, 81 Kemig's sign in, 82 lumbar puncture in, 89 patholo^cal anatomy of, 80 prognosis of, 86 symptoms of, 81 treatment of, 87 tubercular, 91 course of, 95 diagnosis of, 95 etiology of, 91 headache in, 93 patholo^cal anatomy of, 91 pro^osis of, 96 pupils in, 94 symptoms of, 92 treatment of, 96 varieties of, 90 Lesions of one-half of cord, effect of, 56 of spinal cord, anesthesia in, 55 combined, in anemias and ca- chexias, 466 Leukomyelitis, posterior, 428. See also Tabes dorsaiis. lids, examination of, 62 Ligaments, trophic disorders of ^ 40 Lightning pains in tabes dorsahs, 438 Limbs, anomalies of, 713 Limp chorea, 567 Limping, intermittent, 543 treatpient of, 544 Lingual spasm^ 154 Lipoma of brain, 262 Lipomatosis, symmetrical, 550 Lips, anomalies of, 705 Litigation psychosis, 659 Little's disease, 254 Local asphyxia, 540 convulsions, 32 death, 540 syncope, 540 Localization, cerebral, 167 general considerations of, 167 in cerebral cortex, 167 motor cortical, 169 of cord-lesion, horizontal, 351 vertical, 347 of lesions of cauda equina, 360 sensory cortical, 172 spinal, 340 Localized hypertrophies, 550 symptoms, 195 Lockjaw, 553 Locomotor ataxia, progressive, 428. See also Tabes dorsaiis, Logorrhea, 739 Lumbar points, 313 puncture, 27 in leptomenin^tis, 89 in serous menmgitis, 98 in spinal leptomenin^tis, 283 in tubercular meningitis, 97 Lyssa, 556 Lyssophobia, 557 Macrocephalus, 695 Macroglossus, 705 Magnesium sulphate in chorea, 569 in tetanus, 555 Make of current, 42 Maladie des tics, 606, 748 Mandibular musdes, paralysis of, froKzi disease of trifacial nerve, ISO reflex, 34 Mania, 784 acute delirious, 787 course of, 788 diagnosiB of, 788 distractibility in, 785 etiology of, 783 intermittent, 787 mitis, 787 periodic, 787 prognosis of, 784 reasoning, 787 recurrent, 787 senile, 812 transitory, 787 treatment of, 788 unproductive, 782 varieties of, 787 Manic stupor, 782 Manic-depressive insanity, 781 circular type, 784, See also Circular insanily, classification of, 783 depressive phase, 789. See also Melancholia, etiology of, 783 manic phase, 783. See also Mania. prognosis of, 784 Marantic sinus thrombosis, 235. See also Sinus ikrombosis. Massage in anterior poliomyelitis, 397 in combined sclerosis of cord, 466 in exophthalmic goiter, 532 in facial paralysis, 131 in infantue cerebral palsies, 257 in insanity, 774 in intenmttent limping, 544 in Landry's paralysis, 380 in multiple neuritis, 336, 337 in myelitis, 372 in neuritis, 293 of brachial plexus, 308 in perychasthenia, 605 in sciatic neuritis, 316 in spinal muscular progressive atrophy, 414 in tabes dorsaiis, 460 Massive type of acromegalia, 509 Masticatory paralysis, 119 spasm, 119 Mastoid disease, importance of, 66 Masturbation in insanity, treatment of, 781 Mathieu's hand-dynamometer, 28 Maximal points of pain, 58 Median nerve, lesions of, 301 Medulla oblongata, symptoms of lesions of, 191 Megalocephalie, 548 INDEX. Megalodactyl, 711 M^alomelus, 711 M^uicholia, 789 agitata, 743, 800 anxiosa, 800 attonita, 743 course of, 792 diagnosis of, 792 hypochondriacal, 790 involution, 799. See also InooLvHon melancholia. passiva, 743 prognosis of, 784 senile, 812 simplex, 800 stuporosa, 801 treatment of, 793 varieties of, 792 Memory defects, actions induced by, 749 ""disorders of, 741 importance of, in diagnosis, 23 testing of, 762 Memory-pictures, disorders of, 735, 736 Memory-store, 742 M^ni^'s disease, 136. See also Aural vertigo. Meningeal hemorrhage, 747 spinal, 284 Meninges, cerebral, 72 spinal, tumors of, 280 Menin^tis, acute cerebral, 78. See also IjeptomeningUia and Pachymeniiv- ffitis. serous, 80 basilar, 91. See also Leptomemnffilis, titbercylar. cerebral, sjrphilitic, 489 symptoms of, 493 cerebrospinal, 78. See also Lepto- meninj^ia. chronic infantile, 97 diplococcus variety, 90 course of, 90 diagnosis of, 90 etiology of, 90 prognosis of, 90 symptoms of, 90 treatment of, 90 externa serosa, 97 interna serosa, 97 purulent, 78. See also Leptomeningi" tis. serosa spinalis drcumscripta, 384 serous, 97 course of, 98 diagnosis of, 98 etiology of, 97 pathology of, 97 symptoms of, 97 treatment of, 98 spinal, 278 syphilitic spinal, 495 Meningocele, 387 Menin^omyelitis, spinal, 278 syphilitic, 495 Memngomyelooele, 387 Menopause in etiology of insanity, 722 Menstruation in insanity, 755 Mental condition of patient, examina of, 22 diseases, 679 disturbance as a cerebral symptom, strain, 713 symptoms in tumor of brain, 265 torticollis, 152, 609 Meralgia paresthetica, 309 Mercurial inunctions in acute sfi leptomeningitis, 283 in neuritis, 293 Mercury in cerebrospinal syphih's, 41 in etiology of insanity, 717 ' in hydrocephalus, 276 in leptomenin^tis, 88 in sciatic neuritis, 315 in Uhes dorsalis, 459 Merkfahigkeit, 742, 762 Merycism, 151 Mesocephalic head, 694 Metallic poisons, insanity and, 717 Metatarsalgia, 310 Microcephalus, 695 Micromania, 745 Middle-ear disease, 66 Migraine, 653 course of, 656 diagnosis of, 656 etidogy of, 653 headache in, 655 ophthalmoplegic, 654 patholo^ of, 656 prognosis of, 657 symptoms of, 654 treatment of, 657 Mimic spasm, 606 Mind-blmdness, 69, 179 lesion causing, 173 Mirror-speech, 70 Mirror-writing, 70 Misophobia, SOQ Modal chimge, 46 Mogigraphia, 585 Mongolian idiocy, 866 Monocular diplopia, 63 Monomania, 827 Monoplegia, 29 in tumor of brain, 266 Moods, 737 Moral causes of insanity, 723 treatment of insane, 778 Morbus sacer, 639 Morel ear, 707, 708 Morphin in caisson disease, 382 in chorea, 569 in etiology of insanity, 715 in leptomeningitis, 87 in mental disease, 777 in migrsdne, 657 in neuralgia. 665 in Raynaud s disease, 542 in sciatic neuritis, 316 in tabes dorsalis, 462 in tetanus, 555 Morphological stigmata of degenera Morton's disease, 310 928 INDEX. Morvan's disease, 404 Motility, 28 increased, 30 reduced, 28 Motor aphasia, 180 areas of pain, localization of, by elec- tricity, 49 disorders in insanity, 752 function, anomalies of, 712 neuroses. 570 points of face and neck, 42 of lower extremity, 45-47 of upper extremity, 43, 44 tics, 602 tracts of brain, 186-193 Movement, hallucinations of, 730 Movements, associated, 32 postplegic, 31 Multiple abscesses of brain, 244 cerebrospinal sclerosis, 479 bulbar symptoms of, 485 cerebral symptoms of, 485 course of, 485 diagnosis of, 486 etiology of, 479 forms of, 485 intention tremor in, 483 morbid anatomy of, 481 motor features of, 482 prognosis of, 487 reflexes in, 482 sensory sjrmptoms of, 484 symptoms of, 482 treatment of, 487 trophic disturbances in, 485 vertigo in, 485 visu£U disturbances in, 485 neuritis, 317. See also Neuritis. recurrent, 332 neuromata, 294 paralyses of cranial nerves, 156 MuHcles, electrical testing of, 41 testing of power of, 28, 29 trophic disorders of, 40 Muscular sense, testing of, 54 spasm, idiopathic, 38 system, examination of, 28 Musculospiral nerve, lesioas of, 299 Mutism, 761 in dementia prsecox, 805 in hysteria, 68 Mya^sthenia gravis,' 164 Myasthenic reaction,{49 Myelinic neuromata, 294 Myelitis, 365 acute bulbar, 164 syphilitic, 496 atrophy in, 368 central, 366 course of, 370 diagnosis of, 370 dififerential, 371 disseminated, 366 etiology of, 366 morbiti anatomy of, 366 motor symptoms of, 368 paraplegia in, 373 Myelitis, prognosis of, 371 reflexes in, 368 sensory symptoms oi, 36S symptoms of, 367 transva*8e, 366 treatment of, 372 trophic ch^mges in, 360 Myelocele, 387 Myoclonia, 571 diagnosis of, 573 etiology of, 572 prognosis of, 573 symptoms of, 572 treatment of, 583 Myoclonus, 571 diagnosis of, 649 epilepsy, 648 prognosis of, 649 treatment of, 649 Myoidema. 38, 322 Myoidism in tabes, 438 Myopathic facies, 417 Myopathy, primitive progressive, 414 Myositis m multiple neuritis, 317 Myotonia, 32, 590. See also Thomsen'i disease. atrophica, 581 congenita, 580 family, 580 Myotonic reaction, 48 Myriachit, 608 Mysophobia, 783 Myxedema, 514 acquired, of adults, 514 congenital, 516 etioTojor of, 519 morbid anatomy of, 521 operative, 516 treatment of, 522 Myxedematous idiocy, 516 retardation, 518 Narcolepsy, 672 Narrow^-headedness, 695 Nasal crises in tabes, 445 Naso-occipital arc, 681, 699 Nasus aduncus, 706 Negation, delusion of, 746 Negativism in dementia prsecox, 805 Negri bodies in hydrophobifty 55i6 Neologisms, 761 NeosaTvarsan in tabes dorsalis, 459 Nepliritic crLsis, 447 Nephritis in etiology of insanity, 71S Nerve, circumflex. See Circumfiex inrve. divided, changes in, 287 regeneration of, 288 symptoms of, 287 treatment of, 289 division of, 287 electric tests of, in health, 42 median. See Median nerve. musculospiral. SeeMuscuhspinun^rre. phrenic. See Phrenic nerve. suprascapular. See Suprascapular nerve. ulnar. See Ulnar nerve. Nerre-grafting for neuromata, 296 Nerves, cutaneous distribution of, 5' electrical testing of, 41 inflammation of, 2S9. See al^o ^eu- of lower extremity, lesions of, SOS of tnmk, lesions of, 308 spinal. See Spinai nervea. Nerve-stretchiDg for neuromata, 296 Nerve-trunk, lesion ol, aneethesia in, 5 Nerve-tumore, 293. See also JVeuro- Nerve coughs, 145 diseases, functional, 501 organic, in etiology of insanity, 719 dyspepsia, 151 exhaustion, 592. See also N euros- prostration, 592. See also Neuraa- system, examination, in insanity, 761 syphilis of, 487 Neuralgia, 660 characters of, 661 conditions favorinu, 661 in branches of trifacial, 122 in insanity, 752 patbol<^y of, 662 treatment of, 664 trifacial, 663 varieties of, 663 Neurasthenia, 592 circulatory disorders in, 596 course of, 599 diagnosis of, 599 disorders of hearing in, 596 of smell in, 596 of taste in, 596 etiology of, 592 fear in, 598 forms of, 598 gastro-intestinal disorders in, 596 general state in, 598 genital disorders in, 597 headache in, 594 mental disturbances in, 597 motor dborders of, 593 nosophobias in, 597 photophobia in, 5S5 prognosis of, 599 secretory disorders in. 596 sensoo' disturbances in, 594 sleep m, 598 sj-mptoma of, 593 traumatic, 6a8 visual disturbances in, 596 field in, 64 Neuritis, 289 adventitious, 290 alcoholie, 329 diagnosis of. 292 etiology of, 289 leprous, 332 multiple, 317 accommodation in, 326 alcoholic form of, 33 courae of, 328 diagnoBis of, 333 of the toxic cause of, 334 differential diagnosis of, from hys- teria, 334 from lead-poisoning, 329 from locomotor ataxia, 333 from myelitis, 333 from pernicious anemias, 334 from pohomyelitiH, 333 electrical changes in, 322 etiology of, 317 geDeral conditions in, 326 lesions in muscles in,'320 in nerves in, 318 of brain in, 319 of spinal cord in, 319 morbid anatomy of, 318 motions of eyes in. 325 nutrition in, 326 prognosis of, 334 pupils in, 325 recurrent, 332 reflexes in, 323 special forms of, 328 i^mptoms of, 320 mental, 326 motor. 320 mus4nilaT, 320 ocular, 325 sensory, 324 treatment of, 335 trophic (»nditioiis in, 325 vision in, 325 of brachial plexus, 306 causes of, 306 diagnosis of, 307 pr<^CnoMs of, 307 symptoms o!, 306 treatment irf, 307 of branches of trifacial, 122 optic, 106 as a symptom, 197 parenchymatous, 290 prognosis of, 292 sciatic, 310 causes of, 311 diagnosis of, 314 double, 314 morbid anatomy of, 311 symptoms of, 312 tender points in, 312 treatment of, 314 symptoms of, 290 syphilitic, 497 treatment of, 292 Neuroma of brain, 262 Neuromata, 294 amputation, 294 amyelinic, 294 cellular, 294 diagnosis of, 295 930 INDEX. Neuromata, dolorosa, 294 etiology of, 295 fibrillar, 294 ganglion, 294 multiple, 294 myelinic, 294 ]Mt)gno8is of, 295 symptoms of, 295 traumatic, 294 treatment of, 296 Neuropsychoses, 851 Neuroretinitis, 106 Neuroses, 501 classification of, 501 fatigue, 585 following traumatism, 658 infection, 553 motor, 570 occupation, 20, 585, 591 Neurotabes, 457 Neurotic heredity in diagnosis, 18 Nightmare, 671 Night-terrors, 23, 671 Ninth nerve. See Glossopharyngeal nerve. Nitrate of strychnin in spinal progres- sive muscuUi" atrophy, 414 Nitrite of amyl in bronchial asthma, 147 in tetanus, 555 Nitroglycerin in migraine, 657 in sciatic neuritis, 315 Nocturnal enuresis, 671 epilepsy, 645 Nodding spasm in hysteria, 630 Normal child, development of the facul- ties of, 887 Nose, anomalies of, 706 Nosebleed after middle life, 205 Nutrition, abnormal variations in, 39 Nystagmus, 115 Oblique line, 175 Obturator nerve, lesions of, 309 Occupation neuroses, 20, 585, 591 predisposing to nervous disease, 20 Ocular muscle, spasms of, 115 muscles, action of, 109 nerves, anatomical considerations of, 108 diseases of, 108 palsies, 110 causes of, 114 diagnosis of, 111 location of lesion in, 113 treatment of, 116 Oculomotor apparatus, double cortical representation of, 109 Olfactory nerve, diseases of, 100 Oligodactyly, 711 Oligomelus, 711 Oliguria in insanity, 754 Operative myxedema, 516 Ophthalmic test in tubercular meningitis, 96 Ophthalmoplegia externa, 63 interna, 63 Ophthalmoplegia^ prosresave, 157. i^ee also Polioencej?halilis superior chrenuii. Ophthalmoplegic mi^raizie, 654 Ophthalmoscope, importance of, to dc-u- rologist, 63 Ophthalmoscopic picture in amaurotic family idiocy, 253 Opisthognathism, 697 Opisthotonos in cerebellar disease, 192 Opium in epilepsy, 653 in insanity, 777 in mama, 789 in melancholia, 794 in paralytic dementia, 826 in Parkinson's disease, 580 in torticollis, 152 Opium-bromid treatment in epilepsy, 857 Optic nerve, anatomy of, 101 atrophy of, 40, 107 diseases of, 101 lesions of, 101, 106 neuritis as a sjrmptom, 197 in timiors of brain, 265 thalami, fimction of, 189 lesions of, 105, 189 tract, lesions of, lOl— 106 Orbits, asymmetry of, 700 Orientation, patient's, 762 Orthognathism, 697 Osier's classification of acute leptomen- ingitis, 79 Osteo-arthropathie hypertrophiante pneumique, 549 Osteo-arthropathy, hypertrophic, 549 Osteoma of brain, 262 Othematoma, 753 Oxaluria in insanity, 754 Oxycephalus, 695 Pachydermatous cachexia, 514 Pachymeningitis, 74 cervicalis hypertrophica, 279 externa. 74 spinalis, 280 hsemorrhagica, 74 interna, 74 course of, 74 diagnosis of, 76 etimogy of, 74 pathoKgical anatomy of, 74 spinalis, 279 s3rmptoms of, 75 treatment of, 76 ^ Pain, areas of, visceral disease and, oo as a cerebral symptom, 197 as a symptom, 57 description of, by patients, 63 in angina pectoris, 149 in brain disease, 62 in myelitis, 367 in neuritis, 291 in sciatic neuritis, 312 in spinal tumors, 384 in syphilitic meningitis, 496 in tabes dorealis, 438, 439 maximal points of, 58 INDEX. Pain, sense, testinjg of, 51 Palate, asymmetrical, 701, 704 cleft, 702 deformities of, 700 dome-shaped, 701, 703 flat-roofed, 701, 703 Gothic, 701, 703 hip-roofed, 701, 704 with horseshoe arch, 701, 703. Palpebral reflex, 33 Palpitation, cardiac, 148 in brain tumor, 198 Palsies, combined, of nerves of arm, 304 in tabes dorsalis, 437 sleep, 673 Paky, Bell's, 125 diver's, 380, See also Caisson dis- ease. scriveners', 585 wasting, 407 Panophthalmitis in leptomeningitis, 83 Papilla, optic, diseases of, 105 Papilhtis, 105 m tumor of brain, 265 Papilloneuritis, 106 Paradoxical contraction, 37 Paraflin in facial hemiatrophy, 121 Parageusia, 67 Paragraphia^ 69 Pari^ehyd m mania, 789 in mental disease, 778 in senile dementia, 813 Paralysis, acute, ascending, 376. See also Landry's paralysis. agitans, 574. See also Parkinson's disease. beri-beric residual, 332 Brown-S6quard, cord-lesion in, 56, 57 bulbar, asthenic, 164 cerebral, of children, 248 chjronic nuclear ocular, 157. See also Polioencephalitis superior chronica. diphtheric, 330 epidemic, 388 facial, 125. See also Facial paralysis. family periodic, 583 from brain-abscess, 245 from cerebral hemorrhage, 228 from cord-lesion, 347 hypoglossal, 155 in anterior poliomyehtis, 392 in cerebral softening, 227, 228 in hysteria, 628 in insanity, 752 in multiple neuritis, 320 in myelitis, 368 in syphilitic meningitis, 496 in tabes dorsalis, 437 labioglossolaryngeal, 159. See also Polioencephalitis chronica. Landry's, 376 laryngeal, 142. See also Laryngeal paralysis. masticatory, 119 multiple, of cranial nerves, 156 ocular, 110. See also Ocular palsy. of anterior crural nerve, 308 Paralysis of auditory nerve, 1 of circumflex nerve, 299 of facial nerve, 125 of median nerve, 302 of musculospiral nerve, 30( of obturator nerve, 309 of phrenic nerve, 297 of posterior thoracic nerve, of sciatic nerve, 309 of spinal accessory nerve, 1 of superior gluteal nerve, o of suprascapular nerve, 29 of tongue, 155 pharyngeal, 141 progressive bulbar, 159. Polioencephalitis inferior pseudobulbar, 164 pseudohypertrophic, 423 syphilitic spinal, 77 uhiar, 303 Paralytic chorea, 567 dementia, 810, 813 definition of, 813 diagnosis of, 822 differentiation of, fron 823 from cerebrospinal s\ from multiple scleros from neurasthenia, 8! I duration and prognosis etiology of, 814 mental symptoms of, 8 pathological anatomy c physical svmptoms of, prodromal period of, S'. \ symptomatology of, 81 terminal perioa of , 822 treatment of, 826 Paramimia, 69, 179 Paramyoclonus, 581 multiplex, 572 Paramyotonia, congenital. Paranoia. 827 alcoholic, 715 course and prognosis of, definition ot, 827 erotica, 831 etiology of, 828 expansive period of, 831 hallucinatoria acuta, 82^ chronica, 827 inventoria, 831 morbid anatomy of, 850 periodica, 786 persecutory period of, 8 prodromal period of, 82! querulans, 831 reformatoria, 831 religiosa, 831 simplex acuta, 827 chronica, 827 symptomatology of, 82J treatment of, 850 varieties of, 827 Paranoid form of dementi i Paraphasia, 178, 181 Paraphrasia, 69 932 INDEX. Paraplegia, 29, 373. See also Paraplegic state. ataxic, 463 syphilitic, 496 from hematomyelis, 364 hereditary spastic, 475. See also Hereditary spastic paraplegia, in myelitis, 373 in spmal tumors, 384 Paraplegio ^t. 374 state, attitude in, 375 etiology of, 373 ^ait in, 374 m myelitis, 373 prognosis of, 376 reflexes in, 375 symptoms of, 373 treatment of, 376 Parasyphilitic diseases, 499 acquired, 500 hereditary, 500 nervous disease. 487 Parathyroid glanos, trophoneuroses re- lated to, 513 Parenchymatous neuritis, 290 Paresis, general, in cerebral hemorrhage, 221 Paresthesia in multiple neuritis, 324 in neuritis, 290 Paresthesise, 55 Parkinson's disease, 574 course of, 579 diagnosis of, 580 etiology of, 574 mental state in, 579 morbid anatoniy of, 574 muscular rigidity in, 576 palsy in, 579 sensory disturbances in, 579 symptoms of, 575 treatment of, 580 trembling in, 577 Past illness, investigation of, 19 Patellar point, 313 reflex, 36 Pathological drunkenness, 715 Patient, antecedents of, 18 examination of, 17-71 observation of, in insanity, 759 Pavor nocturnus, 671 Pellagra, 476 treatment of, 478 Pellarella, 476 Percussion in brain disease, 197 Periarteritis, cerebral, 204 Perineuritis, 290 Periodical mania, 787 swelling, 545 Peripheral nerves, trophic disease of, 40 paralysis in insanity, 752 Peroneal nerve, lesions of, 310 variety of idiopathic muscular atrophy, 423 Persecution, delusion of, 745 Personal history, 19 Peterson's calipers, 697, 698 Petit mal, 646 Pharyngeal crises, 448 paralysis, 141 Pharyngeal reflex, 34 spasm, 141 Phenacetin in acrom^^lia, 509 in epilepsv, 653 in tabes dorsalis. 462 Phocomelus, 711 Phosphaturia in insanity, 754 Photophobia as a symptom, 62 in leptomenin^tis, 82 Phrenic nerve, lesions of, 297 Physical examination, 24 strain, 713 Physiognomv of patient, 21 Physiological factors in etiology of in- sanity, 721 Pia mater, 750 inflanunation of, 78. See a^Lep- tomeningitis, visceral, 72 Pial hemorrhage, 76 space, 72 Pilocarpin in aural vertigo, 140 in nervous deafness, 135 Pirquet's test in tubercular meningitis._96 Pituitary extract in adiposis dolorosa, 513 feeding in adiposis dolorosa, 513 gland, 502 tumor with acrom«5aly, 262 with hydrocephalus, 273 Plagiocephalus, 695 Plantar nerve, external, lesions of. 310 internal, lesions of, 310 points, 313 reflex, 37 Platioephalus, 695 Platysma, motor center for^ 171 Pneumococcus in leptomenm^tis. 79 Pnemnogastric nerve. See \agus. Polar change. 47 ^ Polioencephalitis, combined f ottos of, Iw inferior chronica, 159 course of, 162 diagnosis of, 163 etiology of, 159 morbid anatomy of, 160 symptoms of, 160 treatment of, 163 superior, acute, 159 chronica, 157 course of, 158 diagnosis of, 158 etioloey of, 157 pathological anatomy ol^ lo7 symptoms of, 157 treatment of, 158 PolioencephalomyelitiB, 388 PoUomyeutis. acute anterior, 388 ascenaing form, 395 course oC 395 deformity in, 393, 394 diagnosis of, 395 etiology of, 388 forms of, 395 morbid anatomy of, 390 prognosis of, 396 INDEX. 933 Poliomyelitis, acute anterior, 83anptoin8 of. 392 treatment of, 396 chronic, 407 Polydactyly, 711 Polymastia, 711 Poljmeuritis, 317. See also Neuritis^ mtdtiple. Polyuria in insanity, 754 Pons Varolii, function of, 190 symptoms of lesions of, 190 Popliteal nerve, external, lesions of, 310 internal, lesions of, 310 point, 312 Posterior columns of cord, effect of lesions of. 351 horn of cord, effect of lesions of, 352 roots of cora, effect of lesions of, 352 spinal arteries, 346 Posterolateral sclerosis, 463. See also Combined sclerosis of cord. Postple^c movements, 31 Precordial anxiety, 738 fright, 738 Presenile paranoid condition, 813 Present condition of patient, 24 Pressure sense, testing of, 51 Prodromes, epileptic, 642 Prognathism. 697 Progressive bulbar paralysis. 159. See also Polioencephalitis inferior chron- ica. general paralysis, 813. See also Parc^ lytic dementia. lenticular degeneration, 189 locomotor ataxia, 428. See also Tabes dorsalis. muscular atrophy, 406 idiopathic, 414 course of, 422 etiology of, 415 morbid anatomy of, 416 prognosis of, 425 symptoms of, 417 treatment of, 425 varieties of, 423 spinal, 406 course of, 413 diagnosis of, 413 differential diagnosis of, 413 etioloor of, 407 morbid anatomy of, 407 prognosis of, 414 symptoms of, 409 treatment of, 414 varieties of, 413 with cord lesions. See Progres- sive muscular atrophyy spinal. without cord lesions. See Progres- sive muscular atrophy, idiopathic. dystrophy, 414 ophthalmoplegia, 157. See also Poli4>- encephalitis superior chronica. spastic ataxia, 463. See also Com- bined sclerosis of spinal cord. systematized insanity, 827. See also Paranoia. Projectile vomiting as a symptom, 196 Propulsion, 577 Protopathic sensibility, 55 Psanunoma, 262. Pseudo-apraxia, 744 Pseudo-ataxia, 744 Pseudoataxie cerebelleuse, 469 Pseudobulbar paralyses, 164 Pseudocerebral tumor, 269 Pseudochorea, 744 Pseudodementia, 740 Pseudohypertrophic paralysis, 423 Pseudomelia paresthetica^ 218 Pseudomeningitis, hystencal, 631 Pseudoparalysis, congenital atonic, 424 Pseudoparaphrasia. 744 Pseudoparesis, sypnilitic, 493 Pseudotabes^ 457 Psychanalysis, 764 Psychasthenia, 598, 602 course of, 604 diagnosis of, 605 etiology of, 604 onset of, 604 prognosis of, 605 termination of, 605 treatment of, 605 Psychic degeneration of epileptics, 853 equivalent of epileptic attack, 647 Psycho-analysis in psychasthenia, 603 Psychogenia, 851 Psychogeny, 851 Psychopathy, 679 Psychosis, 679 alcoholic, 813 Korsakoff's, 715 litigation, 659 senile, 810, 813 Korsakoff's, 812 traumatic, 659 Psychotherapy, 771 Ptosis as a symptom, 62 sleep, 673 Puberty in etiology of insanity, 721 Puerperal state in etiology of insanity, 722 tetanus, 554 Pulmonary branches of vagus, affections of, 145 Pulse in leptomenin^tis, 83 in polioencephalitis inferior chronica, 162 in spinal leptomeningitis, 284 in tubercular leptomeningitis, 93 Puncture, spinal, 27 Pupil, irregularities of, 63 Pupillary reflex, 33 Pupils in leptomeningitis, 83 in multiple neuritis, 83 in tubercular meningitis, 94 Purulent meningitis, 78. See also Lepto- meningitis. Pyramidal tracts, effect of lesions of, 351 Qualitative change, 47 Quantitative change, 46 Quincke's disease, 545 934 INDEX. Quincke's lumbar puncture, 27 in serous meningitis, 08 in spinal leptomeniniptiB, 283 Quinin in aural vertigo, 140 in chorea, 569 in multiple neuritis, 336 sclerosis, 487 in neuralgia, 664 Rabies, 556 Raptus melancholicus, 800 Rajrnaud's disease, 540 course and prognosis of, 542 diagnosis of, 542 etiology of, 540 symptoms of, 541 treatment of, 542 Reaction, hemianopic pupillary, 104 myasthenic, 49 myotonic, 48 of degeneration, 46 in facial paralysis, 128 partial, 47 Wassermann, 25 in cerebral syphilis, 494 Reasoning mania, 787 Reciprocal insanity, 724 Rectus clonus, 37 reflex, 37 Recurrent mania, 787 multiple neuritis, 332 Red cerebral softening, 225 Referred sensation, 54 Reflected tone, 737 RefleXj abdominal, 35 Achilles tendon, 37 anal, 38 sphincteric, 38 bulbocavernous, 447 ciliary, 33 cremasteric, 38 disorders in insanity, 753 epigastric, 35 heel-tendon, 37 mandibular, 34 palpebral, 33 patellar, 36 pharyngeal, 34 plantar, 37 pupillary, 33 rectus, 37 sphincter, 38 supra-orbital, 33 tnceps, 35 virile, 38„ 447 Reflexes, 32 in anterior poliomyelitis, 393 in hysteria, 618, 619, 628 in lesions of spinal cord, 349 in multiple cerebrospinal sclerosis, 754 neuritis, 323 in myelitis, 368 in myoclonus epilepsy, 648 in paraplegic state, 375 in progressive muscular atrophy with cord-lesions, 412 Reflexes in spinal tumors, 384 in tabes dorsalis, 441 of lower extremity, 35 of upper extremity, 34 Refraction, errors of, ixnportanoe of. 63 Refusal of food, management of, 780 Regeneration of a divided nerve, 288 Regression, law of, 736 Re»Dction of nerve-roots in tabes dorsalis. 462 Residence, importance of, 20 Respiration in leptomeningitis, 84 in tubercular leptomeningitis, 93 Respiratory organs, examination of, 2i Rest in multiple neuritis, 336 in neuritis, 293 in sciatic neuritis, 314 Rest-cure, 773 Retina, diseases of, 105 Retinitis, 105 Retrograde amnesia, 742 Retropulsion, 577 Reversion, 690 Rheumatism, relation of, to chorea, 560 Ri^t-handedness, cause of, 169 Rigidity in tubercular lepfcomeningitK, 93 muscular, in leptomeningitis, 72 Rinn^'s test, 65 Robertson pupillary sign in tabes, 443 Romberg, sign of, 435 symptoms, 30 Ront^en rays in brain disease, 198 Rummation, 151 Saghtal line, 174 Salicylate of soda in auto-intoncstioD, 776 Salicylates in adiposis dolorosa, 513 in anterior poliomyelitis, 396 in faciflJ paralysis, 131 in Landry's paralysis, 380 Saline solution in cerebral sof teniiig, ZK? Salol in auto-intoxication, 776 in epilep^, 652, 858 in multiple neuritis, 336 in myeUtis, 372 Saltatory chorea in hysteria, 630 Salvarsan as preventive of paresis, / /u in cerebral syphilis, 499 in paralytic (dementia, 826 in tabes dorsalis, 459 Sarcoma of brain, 259 Scanning ^eech, 68 Scaphocephalus, 696 Schnauzkrampf , 808 Sciatic nerve, great, lesion of, 309 neuritis, 310. See also NewrUts. scoliosis, 312 Sclerodactylie, 534 Scleroderma, 534 etiology of, 534 symptoms of, 535 treatment of, 535 Scleroma adultorum, 534 Sclerose en plaques, 479 . . _j i/a Scleroses of spinal cord, combined, wo INDEX. 935 Sclerosis, amyotrophic lateral, 406 disseminated, 479 multiple cerebrospinal, 479. See also Midtiple cerebrospinal sclerosis, of postmor columns of cord, 428. See also Tches dorsalis, of spinal cord from vegetable intoxi- cants, 476 posterolateral, 463. See aJso Comr bined sclerosis. Scoliosis, sciatic, 312 Scotch douche, 775 Scotoma, central, 104 Scotomata, 64 Scriveners' palsy, 585 Scurvy, Alpine, 476 Secondary dementia, 810. See also De- mentia. Secretory disorders in insanity, 753 Sedatives in leptomeningitis, 88 Senile chorea, 572 . dementia, 810, 811. See also De- merUia. - hypochondriasis, 812 Korsakoff's psychosis, 812 mania, 812 melancholia, 812 paranoid condition, 812 psychoses, 810, 813 Senility in etiology of insanity, 723 Sensation, disorders of, in insanity, 729 intensity of, 734 quaUtative, 729 tone of, 734 general consideration of, 49 referred, 54 testing and examination of, 50 Sensibility, deep, 55 epicritic, 55 hallucinations of, 730 illusions of, 734 protopathic, 55 Sensory conditions, 49 cortical localization, 172 disorders, actions induced by, 749 in insanity, 752 disturbances from brain-lesion, 195 function, anomalies of, 712 paths, 186 tone, disorders of, 734 Serous meningitis, 97. See also Menin- gitiSj serous. Serum, antistreptococcus, in chorea, 569 Flexner's^ in diplococcus variety of meningitis, ^ in leptomeningitis, 88 Seventh cranial nerve. See Facial nerve. Sex in etiology of insanity, 689 Shaking palsy, 574 Shingles, 337. See also Herpes zoster. Shoiuder, center for movements of, 171 Sight, affections of, in tubercular lepto- meningitis, 93 examination of, 62 hallucinations of, 730 Sign, Kemig's, in leptomeningitis, 82 Sign, Kemig's, in tetanus, 553 leg, in tetany, 539 Signal symptom, 32, 195 Simulo in epilepsy, 857 Sinus thrombosis, 234 infective, 236 cavernous, 237 lateral, 238 longitudinal, 239 symptoms of, 237 treatment of, 239 marantic, 235 diagnosis of, 235 prognosis of, 236 symptoms of, 235 Sinuses, cerebral, anatomy of, 233 Sixth nerve, anatomical considerations of, 109 effect of division of, 110 Skin, anomalies of, 712 trophic disturbances of, 39 Sleep, disorders of, 666 drunkenness, 671 importance of, in diagnosis, 23 palsy, 300, 673 physical features of, 666 ptosis, 673 requirements for, 667 Sleeping sickness, 673 Smell, center for, 173 examination of, 66 hallucinations of, 730 illusions of, 734 loss of, 100 Sodium iodid in cerebrospinal syphilis, 498 Softening, cerebral, 224. See also Cere- bral s^tening. Somnambulism, 669 Somnolentia^ 671 Sounds, subjective, 66 Space sense, disturbance of, 66 Spasmodic asthma, 145. See also Asthma, brorumal, tabes, 463 torticoUis, 151, 608 wryneck, 151 Spasmogenic point or zone, 619 Spasms, 31 clonic, 31 facial, 124, 608 from cord-lesions, 347 hypoglossal, 154 hysterical rhythmical, 630 idiopathic muscular, 38 laryngeal, 144 lingual, 154 masticatory, 119 mimic, 606 occupation, 585 of ocular muscle, 115 of spinal accessory nerve, 151 phar3mgeal, 141 tonic, 31 Spastic paraplegia, hereditary, 475. See also Hereditary spastic paraplegia. Special senses, examination of, 62 936 INDEX. Speech, anomalies of, 713 center for, 172. 176 examination ot, 67 Sphincter reflex, 38 Spina bifida, 386 diagnosis of, 387 etiology of, 387 occulta, 38i5 prognosis of, 387 symptoms of, 387 treatment of, 388 Spinal accessory nerve, anatomical con- siderations of, 151 paralysis of, 153 spasm of, 151 arteries, anterior, 342 posterior, 346 cord, anatomical considerations of, 340 circulation in, 342 combined sclerosis of, 463. See also Combined sclerosis, disabling transverse lesions of, table of symptoms, 353-359 glioma of, 383 hemorrhage into, 362 in brain tumors, ^3 indiscriminate lesions of, 362 lesions of, combined, in anemias and cachexias, 466 cross, table of symptoms in, 353- 359 in tabes dorsalis, 432 localization of, vertical, 347 location of anesthesia in, 55 motor symptoms of, 347 of gray matter of, 388 of one lateral half of, 56 reflexes in, 349 sensory symptoms of, 349 trophic conditions in, 350 vasomotor disturbance in, 350 vertical localization of, 347 visceral symptoms in, 350 white matter of, 427 localization of, 340 relation of lesions and diseases of, 352 to body surface, 341 to vertebrae, 341 segments, relation of anesthesia to, 55 to cutaneous areas, 56, 59 subdural cysts of, 384 S3rmptoms, functions of, 348 syphilis of, 495. See also Syphilis, spinal, thrombotic softening of, 364 transverse sections of, 343 traumatic lesions of substance of, 362 tumors of, 382 douche, 775 fluid in cerebrospinal syphilis, 494 leptomeningitis, acute, 280 chronic, 284 meningeal hemorrhage, 284 meninges, tumors of, 382 meningitis, 278 Spinal nerves, division of, 287 histological changes in, 287 muscular sympUnns of, 288 symptoms of, 287 treatment of, 289 injuries and diseases of, 286 lesions of, in tabes dorsalis, 431 pachymeningitis, 278 special lesions of, 297 stretching in family ataxia, 475 in tabes dorsaUs, 459 symptoms in tubercular leptomen- ingitis, 95 ssrphilis, 495. See also Syphiik spinal. tumors, 382 course of, 385 diagnosis of, 385 location of, 386 morbid anatomy of, 383 prognosis of, 385 reflexes in, 384 63rmptoms of, 384 treatment of, 386 Spinal puncture, 27 Spine, concussion of, 658 Sporadic cretinism, 516 Spurious ankle^clonus, 38 Squamosal point, 175 Squint, importance of, 63 St. Vitus' dance, 558 Stahl ear. No. 1, 707, 708 No. 2, 708 Stammering, 68 Staphylococcus areus in chorea, 562 pyogenes in chorea, 562 Static ataxia, 30 Status epilepticus, 646 Steeple-shaped skull, 714 "Steppage,^ 321 Stereoagnosis, 51 . • i-o Stereognosis, cerebral locaUaation, 1/^ Stereognostic sense, 51 ,. . .« impairment of, in tabes dorsabs, 44U Stereotyped movements, 743, 750 Stereotypy in dementia praecox, 805 Sthenic loss in cerebellar disease, 191 Stigmata hereditatis, 691 of degeneracy in nervous disease, ^i of degeneration in insanity, 691 Stimulants in leptomeningitis, 88 Storm center, 194 ^. ,^^^ Strain, physical and mental, in etiology of insamty, 713 . . ..^ Kv Stream of thought, actions inducea oj disorders of, 750 Streptococcus in chorea, 562 in leptomeningitis, 79 * 'Stroke," apoplectic, 212 .«« Strophanthus m exophthahnic goiter, ao- Struma exophthalmica, 523 . .^ Strychnin in anterior poliomyelitis, «$»' in brain-tumor, 272 in bronchial asthma, 146 in cerebral hemorrhage, 222 softening, 232 in chorea, 569 INDEX. 937 Strychnin in exophthalmic goiter, 532 in nervous deafness, 135 in neuralgia, 665 in neurasthenia, 601 in neuritis, 293 in polioencephalitis superior chronica, 159 in spinal progressive muscular atrophy, 414 Stupor, 743 manic, 782 Stuttering, 68 Subdural cysts of spinal cord, 384 space^ 72 Subjective sounds, hearing of, 67 Suicidal tendencies, management of, 780 Sulphond in chorea, 569 in insanity, 778 in mania, 789 Summary remembrance, 742 Supra-orbital reflex, 33 Suprascapular nerve, lesions of, 299 Syllable stumbling, 68 Symelus, 711 Symmetrical lipomatosis, 550 Sympathetic nerve, effect of division of, 111 Symptom, extension, 194 ^oup of Weber, 113 mvasion, 194 Romberg, 30 signal, 32j 195 Symptomatic disorders, 660 Symptoms at a distance, 198 diffused. 