None
spasmodic affections of, 124 paralysis, 125 alternating, 132 course of, 128 diagnosis of, 124 double, 128 nuclear, 131 peripheral, etiology of, 125 prognosis of, 130 supranuclear, 132 symptoms of, 126 treatment of, 131 spasm, 124 Facioscapulohumeral form of muscular atrophy, 417 Falling sickness, 631 Family ataxia, 462 course of, 468 diagnosis of, 468 etiology of, 464 Friedreich's form of, 468 Marie's form of, 468 morbid anatomy of, 465 prognosis of, 469 symptoms of, 466 treatment of, 469 varieties of, 468 chorea, 562 history in insanity, 750 myotonia, 572 periodic paralysis, 575 tremor, 576 Faradic current, test with, in health, 42 Fatigue neuroses, 577 Fever, hysterical, 626 Fibrillar neuromata, 292 Fibrillary chorea, 564 tremor, 30 Fibroma of brain, 260 Fibular point, 310 Field of vision, 64. See also Visual field. Fifth nerve. See Trifacial nerve. 912 INDEX. Finger, center for movements of, 169 First cranial nerve. See Olfactory nerve. Fixed point, 64 Flat-foot in intermittent limping, 533 in tabes, 446 Flat headedness, 687 Flat-roofed palate, 693, 695 Flavor, 66 Flexibilitas cerea, 735, 742 Flexner's serum in acute spinal lepto- meningitis, 281 in diplococcus variety of meningitis, 90 in leptomeningitis, 88 Flight of ideas in dementia prsecox, 796 Fly-blister in leptomeningitis, 88 Foerster's method of division of nerve- roots in cerebral palsies of children, 255 Folie, 671 a deux, 716 du doute, 740 imposee, 716 simultanee, 716 Foot-clonus, 37 Foot-drop in multiple neuritis, 317, 318 Forced movements in cerebellar disease, 191 in disease of labyrinth, 66 positions in cerebellar disease, 191 Forgetfulness in multiple neuritis, 324 Formes frustes in multiple sclerosis, 480 Fourth nerve, anatomical considerations of, 109 effect of division of, 110 Fowler's solution in chorea, 560 Freud's views on dreams, 758 Friedreich's ataxia or disease, 463. See also Family ataxia. Froehlich's dystrophia adiposogenitalis, 497 Frontal lines, 173 Front-tap contraction, 37 Functional nervous diseases, 495 stigmata of degeneracy, 22 Furor epilepticus, 731 Gait, importance of, in diagnosis, 28 in family ataxia, 466 in idiopathic muscular atrophy, 414 in multiple neuritis, 317 sclerosis, 476 in Parkinson's diseases, 569 in sciatic neuritis, 310 paraplegic, 370 Galvanic current, test of muscle by, in health, 45 Galvanometer test for emotions, 756 Ganglion neuroma, 292 Gastralgia, 148 Gastric branches of vagus, diseases of, 148 crises, 439 Gastrodynia, 148 Gastro-intestinal disorders in etiology of insanity, 710 General convulsions, 32 General paralysis of the insane, 805. See also Paralytic dementia. paresis, 805. See also Paralytic de- mentia. Geniculate bodies, lesion of, 105 Genital disease in etiology of insanity, 710 dystrophy, 504 organs, anomalies of, 703 Genito-urinary function, anomalies of, 705 tract, examination of, 26 Giant swelling, 534 urticaria, 534 Gigantism, 503 Girdle sensation in tabes dorsalis, 433 Glabellar point, 172 Glioma of brain, 257 of spinal cord, 379 Globus, 139 hystericus, 614 Glossopharyngeal nerve, anatomical con- siderations of, 138 diseases of, 138 Gluteal nerve, lesions of, 307 point, 310 Glycosuria in acromegalia, 502 in insanity, 747 Goiter, exophthalmic, 516. See also Exophthalmic goiter. Gothic palate, 693 Gowers' rule in testing diplopia, 112 Grandeur, delusion of, 738 Graphic-motor aphasia, 181 Graphospasmus, 577 Graves' disease, 516. See also Ex- ophthalmic goiter. Gray matter of cord, lesions of, 384 Habit spasm, 598 Habitat, importance of, in diagnosis, 20 Habits, investigation of, 19 Hallucinations, 721 conditions in which they occur, 724 effect of, on actions, 741 examination for, 723 of memory, 734 origin of, 723 Hallucinatory agitation, 742 confusion, 724 stupor, 724 Hallucinosis, alcoholic, acute, 707 Hammer-toe, 308 in family ataxia, 467 Hand-dynamometer of Mathieu, 28 Hand-writing, examination of, 69 in chorea, 556 in motor aphasia, 179 Harelip, 697 Hashish in etiology of insanity, 708 Head injuries in etiology of insanity, 712 retraction of, in cerebellar disease, 191 tetanus, 541 Headache as cerebral symptom, 194 in brain abscess, 244 lesions, 194 tumors, 262 INDEX. 913 Headache in cerebral syphilis, 485 in encephalic syphilis, 488 in epilepsy, 636 in leptomeningitis, 81 in lesions of cerebellum, 191 in migraine, 647 in neurasthenia, 586 in pial hemorrhage, 78 in tubercular leptomeningitis, 93 meningitis, 93 in tumor of brain, 262 lead cap, 586 occipital, in cerebellar disease, 191 sick, 645 Health, electrical tests in, 42 Hearing, affections of, 133 in leptomeningitis, 83 center for, 171 electrical testing of, 49 hallucinations of, 722 illusions of, 725 in facial paralysis, 128 in idiocy, 862 testing of, 65 Heart disease in etiology of insanity, 710 Hebephrenic form of dementia prsecox, 799 insanity, 714 Hebetude from tumors in corpus cal- losum, 186 Heboidophrenia, 799 Heel-tendon reflex, 37 Hematoma auris, 745 of dura mater, 74 Hematomyelia, 358 diagnosis of, 360 etiology of, 358 morbid anatomy of, 359 prognosis of, 360 symptoms of, 359 treatment of, 360 Hemianesthesia in cerebral hemorrhage, 212 Hemianopic pupillary reaction, 104 Hemianopsia, double homonymous, ex- planation of production of, 103 explanation of production of, 101 from cerebral hemorrhage, 212 in tumor of brain, 264 Hemiatrophy, facial, from disease of trifacial nerve, 120 Hemicordal lesion, effect of, on sensa- tion, 56, 57 Hemiplegia, 29, 213 associated movements in, 213 causes of, 213 circulatory disturbances in, 215 complications of, 215 contractures in, 213 from cerebral hemorrhage, 211 gait in, 214 hemianesthesia in, 215 hysterical, 621 in brain-tumor, 264 in central softening, 225 in cerebral palsies of children, 248 position of upper extremity in, 215 58 Hemiplegic gait, 214 state, 213. See also Hemiplegia. Hemorrhage, cerebellar, 217 cerebral, 207 apoplectic state in, 210 clinical forms of, 217 course of, 216 diagnosis of, 218 differential diagnosis of, 218 etiology of, 209 hemiplegia from, 213 pathological anatomy of, 208 prognosis of, 219 sensory disturbances in, 212 symptoms of, 210 treatment of, 220 trophic disturbances in, 212 extradural spinal, 282 extrapial, 76 into spinal cord, 358. See also Hema- tomyelia. into tumor of brain, 265 intrapial, 77 meningeal, 76 pial, 76 spinal meningeal, 282 diagnosis of, 283 etiology of, 282 morbid anatomy of, 283 prognosis of, 284 symptoms of, 283 treatment of, 284 subdural spinal, 282 Hereditary cerebellar ataxia, 463 cerebrospinal syphilis, 491 degeneracy, 683 spastic paraplegia, 469 prognosis of, 470 symptoms of, 469 treatment of, 469 tropho-edema, chronic, 539 Heredity in etiology of insanity, 681 neurotic importance of, 18 Herpes labialis in leptomeningitis, 83 zoster, 334 degeneration in peripheral nerves in, 335 spinal cord in, 335 diagnosis of, 336 distribution of, 336 etiology of, 334 pathology of, 335 symptoms of, 335 treatment of, 336 Herpetiform morphea, 527 Heterophoria, 63 Hiccup, 145 Hide-bound disease, 527 Hip-roofed palate, 693, 696 History, family, in insanity, 750 of patient in insanity, 750 Horizontal localization of cord-lesions, 348 Hot-baths in combined sclerosis of cord, 460 in leptomeningitis, 87 in multiple neuritis, 333 914 INDEX. Hot-baths in tubercular leptomeningitis, 96 Huntington's chorea, 562 disease, 562 diagnosis of, 563 etiology of, 562 morbid anatomy of, 562 symptoms of, 563 Hutchinson's teeth, 697 Hydrocephalic cry, 93 Hydrocephalus, 271 acute, 91. See also Leptomeningits, tubercular. course of, 273 diagnosis of, 273 etiology of, 271 external, 271 internal, 271 morbid anatomy of, 271 prognosis of, 274 symptoms of, 272 treatment of, 274 Hydromyelocele, 383 Hydrophobia, 542 diagnosis of, 544 morbid anatomy of, 543 symptoms of, 543 treatment of, 544 Hydrotherapy in exophthalmic goiter, 525 in insanity, 766 in psychasthenia, 597 Hyoscin in epilepsy, 850 in etiology of insanity, 708 in mania, 781 in mental disease, 769 in myoclonia, 565 in Parkinson's disease, 572 in senile dementia, 805 in torticollis, 150 Hyoseyamin in epilepsy, 850 in etiology of insanity, 708 in mania, 781 in mental disease, 769 Hyperacusis, 133 Hyperageusia, 67 Hyperalgesia, 55 in mental disease, 726 in tabes dorsalis, 434 Hyperemia, cerebral, 200. See also Cerebral hyperemia. Hyperesthesia, 55 auditory, 65, 133, 134 from lesions of spinal cord, 346 hysterical, 611 in mental disease, 726 in multiple neuritis, 322 Hyperhedonia, 727 Hyperostosis cranii, 507 Hyperpituitarism, 496 Hyperthyroidation, 517 Hypertrophies, localized, 536 unsymmetrical, 538 Hyphedonia, 727 Hypnotism, 666 in insanity, 772 in treatment of hysteria, 630 Hypnotism, methods of inducing, 666 uses of, 667 Hypnotizing, methods of, 666 Hypochlorhydria in insanity, 746 Hypochondriacal melancholia, 782 paralysis, 744 Hypochondriasis, 737 effect of, on actions, 743 senile, 804 Hypoglossal nerve, anatomical condi- tions of, 152 paralysis, 153 spasms, 152 Hypoglossus, affections of, in leptomen- ingitis, 83 Hypomania, 779 Hypophysis cerebri, trophoneuroses re- lated to, 496 Hysteria, 602, 843 aboulia in, 613 accidents in, 613 achromatopsia in, 607 agraphia in, 624 amnesia in, 602, 612 anesthesia in, 605 distribution of, 608 peculiarities of, 609 angina pectoris in, 624 anorexia in, 625 anuria in, 625 aphonia in, 624 arc de cercle in, 616, 617 astasia abasia in, 622 attacks of ecstasy in, 619 of sleep in, 619 aura of, 614 cephalalgia in, 623 clonic phase of, 614 contractures of, 620 cough in, 622, 624 course of, 627 coxalgia in, 622 dermographism in, 627 diagnosis of, 628 digestive apparatus in, 625 dyschromatopsia in, 606 dysphagia in, 625 dyspnea in, 625 epileptoid attacks in, 619 period of, 614 etiology of, 613 fever of, 626 globus in, 614, 619 grand attacks of, 614 hearing in, 606 hemiplegia in, 621 hyperesthesia in, 611 impressionability in, 613 in etiology of insanity, 711 modified attacks of, 618 monoplegia in, 621 motor accidents of, 620 movements in, 611 muscular atrophy in, 627 nodding spasm in, 622 paralysis of, 620 period of clownism, 615 INDEX. 915 Hysteria, period of delirium, 618 of passional attitudes, 617, 618 phase of contortions of, 617 of grand movements of, 617 of resolution of, 615 prognosis of, 628 ptosis in, 621 pulmonary congestion in, 624 reflexes in, 609, 610, 620 respiratory affections in, 619 rhythmical spasms in, 622 saltatory chorea in, 622 sensory accidents of, 623 simulation in. See also Progressive muscular atro- phy. 916 INDEX. Idiots, education of, 892 savants, 858 Iliac point, 310 Illness, the examination of, 20 Illusions, 725 origin of, 726 Imitation in etiology of insanity, 716 Imperative ideas, 739 Inanition delirium, 710 Incoherence, 735 Incontinence, urinary, 23 Incoordination, detection of, 30 Incubus, 663 Indicanuria in insanity, 747 Indifferent electrode, 42 Indiscriminate cord-lesions, 358 Infantile cerebral palsies, 246. See also Cerebral -palsies of children. type of muscular atrophy, 417 Infantilism, 513 Infection neuroses, 540 Infective sinus thrombosis, 234. See also Sinus thrombosis. Inflammation of brain, 238 of nerves, 287. See Neuritis. Inflammatory sinus thrombosis, 234 Ingravescent apoplexy, 217 Inherited syphilis as a predisposing cause to nervous disease, 18 Insane, asylums for, 700 ear, 735 isolation of, 762 moral treatment of, 770 Insanity, 671 accompanying physical diseases of, 743 acute treatment of, 764 age in, 691 alcohol in etiology of, 706 attitude in, 751 behavior in, 751 chronic delusional, 819. See also Paranoia. circular, 786. See also Circular in- sanity. classification of, 673 commotion, 712 definition of, 671 diet in, 766 disorders of sensation in, 721 drugs in, 769 electrotherapy in, 768 epileptic, 843 acute transitory, 846 chronic, 847 treatment of, 847 etiology of, atheromatous arteries in, 710 atropin in, 708 carcinoma in, 710 cocain in, 708 epilepsy in, 711 exhaustion in, 713 gastro-intestinal disorders in, 710 genital disease in, 710 hashish in, 708 head injuries in, 712 heart disease in, 710 Insanity, etiology of, hysteria in, 711 imitation in, 716 infections in, 710 menopause in, 714 metallic poisons in, 709 morphin in, 707 nephritis in, 710 organic nervous disease in, 711 physiological factors in, 713 puberty in, 713 puerperal state in, 714 senility in, 715 syphilis in, 709 tuberculosis in, 710 various poisons in, 709 examination in, methods, 748, 753 general etiology of, 681 symptomatology of, 720 treatment of, 759 hebephrenic, 714 heredity in, 681 hydrotherapy in, 766 hypochlorhydria in, 746 hysterical, 843 manic-depressive, 773. See also Manic depressive insanity. mannerisms in, 752 massage in, 766 menstruation in, 747 moral causes of, 715 motor disorders in, 744 paralyses in, 744 physiognomy in, 751 progressive systematized, 819 prophylaxis of, 761 psychotherapy in, 763 reciprocal, 716 reflex disorders of, 745 rest-cure in, 765 secretory disorders in, 745 sensory disorders in, 744 sex in, 681 strain in, 706 temperature changes in, 747 toxic influences in, 706 traumatic, 712 trophic disorders in, 745 urine in, 746 vascular disorders in, 748 Insomnia, 660 etiology of, 660 symptoms of, 660 treatment of, 661 Insular sclerosis, 473. See also Multiple cerebrospinal sclerosis. Integument, examination of, 26 Intelligence, testing of, 755 Intention tremor, 30 in multiple sclerosis, 477 Intermittent limping, 532 treatment of, 533 mania, 779 Intermittirende Hinke, 532 Internal capsule, function of, 185 lesions of, effect of, on sensation, 57 motor paths in, 185 sensory paths in, 185 INDEX. 017 Intrapial hemorrhage, 77 Intrapsychic ataxia, 798 Invasion symptoms, 192 Involution melancholia, 791 course of, 793 prognosis of, 793 symptoms of, 792 treatment of, 793 Iodid of potassium in bronchial asthma, 144 Iodids in cerebral hemorrhage, 221 in cerebrospinal syphilis, 492 in intermittent limping, 533 in leptomeningitis, 88 in neuritis, 291 Iodoform, injection of, within dura in tubercular leptomeningitis, 96 ointment for leptomeningitis, 88 Iridoplegia, 63 Iron in chorea, 560 in multiple neuritis, 333 in neurasthenia, 593 Irradiation, 729 Irresein, 671 Irritability, 731 Irritative brain-lesions, 192 Irrsinn, 671 Isolation of insane, 762 Jacksonian convulsions, 32 in cerebral softening, 225 fits, 565 Jaw-jerk, production of, 34 Jendrassik's method of reinforcing knee- jerk, 36 Joints, Charcot, 40, 445 motility of, in infantile cerebral pal- sies, 250 testing sensibility of, 54 trophic disorders of, 40 Judgment, weakness of, 740 Jumpers, 600 Juvenile atrophy, 417 tabes, 451 variety of idiopathic muscular atro- phy, 417 Kakidrosis, 779 Kakke, 314, 328 Keel-shaped skull, 688 Kernig's sign in leptomeningitis, 82 in tetanus, 540 Knee-jerk, 36 reinforced by Jendrassik's method, 36 Kocher's ventil operation in idiocy 899 Koch's bacillus in leptomeningitis, 79 Korsakoff's psychosis, 707 senile, 804 Lability of phenomena, 732 Labioglossolaryngeal paralysis, 157. See also Polio-encephalitis inferior chronica. Labyrinthial disturbance in tabes, 439 142 142 Lachrymal reflex in hysteria, 608 Lalling, 68 Landholt's rule in testing diplopia, 111 Landouzy-Dejerine type of muscular atrophy, 417 Landry's paralysis, 372 course of, 375 diagnosis of, 375 etiology of, 373 morbid anatomy of, 374 prognosis of, 375 symptoms of, 374 treatment of, 375 Laryngeal crisis, 442 epilepsy, 142 muscles, action of, 140 nerves, 139 palsies in tabes, 442 paralyses, 140 abductor, 140 adductor, 140 complete bilateral, diagnosis of, 140 of tensors, 141 treatment of, 142 spasm, 142 stroke, 442 Larynx, anesthesia of, Latah, 600 Latent lesions of cerebral cortex, 171 Lateropulsion, 569 Lathyrism, 470 Law of regression, 728 Lead in etiology of insanity, 709 Lead-cap headache, 586 Lead-palsy, 326 prognosis of, 331 treatment of, 332 Leg sign in tetany, 548 Length-breadth index, 688, 691 Leontiasis ossea, 507 Lepros}r, Asturian, 470 Leprous neuritis, 329 Leptocephalus, 687 Leptomeningitis, 78 acute, spinal, 278 course of, 280 diagnosis of, 280 etiology of, 278 morbid anatomy of, 279 Osier's classification of, 79 prognosis of, 281 symptoms of, 279 treatment of, 281 chronic, 98 spinal, 282 morbid anatomy of, 282 prognosis of, 282 symptoms of, 282 treatment of, 282 course of, 84 diagnosis of, 85 diplococcus variety, 90 etiology of, 78 headache in, 81 Kernig's sign in, 82 lumbar puncture in, 89 918 INDEX. Leptomeningitis, pathological anatomy of, prognosis of, 86 symptoms of, 81 treatment of, 87 tubercular, 91 course of, 95 diagnosis of, 95 etiology of, 91 headache in, 93 pathological anatomy of, 91 prognosis 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, 460 Leukomyelitis, posterior, 422. See also Tabes dorsalis. Lids, examination of, 62 Ligaments, trophic disorders of, 40 Lightning pains in tabes dorsalis, 432 Limbs, anomalies of, 705 Limp chorea, 559 Limping, intermittent, 532 treatment of, 533 Lingual spasm, 152 Lipoma of brain, 260 Lipomatosis, symmetrical, 536 Lips, anomalies of, 697 Litigation psychosis, 651 Little's disease, 252 Local asphyxia, 530 convulsions, 32 death, 530 syncope, 530 Localization, cerebral, 165 general considerations of, 165 in cerebral cortex, 165 motor cortical, 167 of cord-lesion, horizontal, 348 vertical, 344 of lesions of cauda equina, 357 sensory cortical, 170 spinal, 337 Localized hypertrophies, 536 symptoms, 193 Lockjaw, 540 Locomotor ataxia, progressive, 422. See also Tabes dorsalis. Logorrhea, 731 Lumbar points, 310 puncture, 27 in leptomeningitis, 89 in serous meningitis, 98 in spinal leptomeningitis, 281 in tubercular meningitis, 97 Lyssa, 542 Lyssophobia, 544 Macrocephalus, 687 Macroglossus, 697 Magnesium sulphate in chorea, 561 Make of current, 42 Maladie des tics, 598, 740 Mandibular muscles, paralysis of, from disease of trifacial nerve, 120 reflex, 34 Mania, 776 acute delirious, 779 course of, 780 diagnosis of, 780 distractibility in, 777 etiology of, 775 intermittent, 779 mitis, 779 periodic, 779 prognosis of, 776 reasoning, 779 recurrent, 779 senile, 804 transitory, 779 treatment of, 780 unproductive, 774 varieties of, 779 Manic stupor, 774 * Manic-depressive insanity, 773 circular type, 786. See also Circular insanity. classification of, 775 depressive phase, 781. See also Melancholia. etiology of, 775 manic phase, 775. See also Mania. prognosis of, 776 Marantic sinus thrombosis, 233. See also Sinus thrombosis. Massage in anterior poliomyelitis, 392 in combined sclerosis of cord, 460 in exophthalmic goiter, 525 in facial paralysis, 131 in infantile cerebral palsies, 255 in insanity, 766 in intermittent limping, 533 in Landry's paralysis, 376 in multiple neuritis, 333, 334 in myelitis, 368 in neuritis, 291 of brachial plexus, 306 in psychasthenia, 597 in sciatic neuritis, 313 in spinal muscular progressive atrophy, 408 in tabes dorsalis, 454 Massive type of acromegalia, 503 Masticatory paralysis, 119 spasm, 119 Mastoid disease, importance of, 66 Masturbation in insanity, treatment of, 773 Mathieu's hand-dynamometer, 28 Maximal points of pain, 58 Median nerve, lesions of, 300 Medulla oblongata, symptoms of lesions of, 189 Megalocephalie, 507 Megalodactyl, 703 Megalomelus, 703 Melancholia, 781 agitata, 735, 792 INDEX. 919 Melancholia anxiosa, 792 attonita, 735 course of, 784 diagnosis of, 784 hypochondriacal, 782 involution, 791. See also Involution melancholia. passiva, 735 prognosis, 776 senile, 804 simplex, 792 stuporosa, 793 treatment of, 785 varieties of, 784 Memory defects, actions induced by, 741 disorders of, 733 importance of, in diagnosis, 23 testing of, 754 Memory-pictures, disorders of, 727, 728 Memory-store, 734 Meniere's disease, 136. See also Aural vertigo. Meningeal hemorrhage, 739 spinal, 282 Meninges, cerebral, 72 spinal, tumors of, 278 Meningitis, acute cerebral, 78. See also Leptomeningits and Pachymenin- gitis. serous, 80 basilar, 91. See also Leptomeningitis, tubercular. cerebral, syphilitic, 483 symptoms of, 485 cerebrospinal, 78. See also Lepto- meningitis. chronic infantile, 97 diplococcus variety, 90 course, 90 diagnosis, 90 etiology, 90 prognosis, 90 symptoms, 90 treatment, 90 externa serosa, 97 interna serosa, 97 purulent, 78. See also Leptomenin- gitis. serosa spinalis circumscripta, 380 serous, 97 course, 98 diagnosis, 98 etiology, 97 pathology, 97 symptoms, 97 treatment, 98 spinal, 276 syphilitic spinal, 489 Meningocele, 382 Meningomyelitis, spinal, 276 syphilitic, 489 Meningomyelocele, 382 Menopause in etiology of insanity, 714 Menstruation in insanity, 747 Mental condition of patient, examination of, 22 diseases, 671 Mental disturbance as a cerebral symp- tom, 194 strain, 705 symptoms in tumor of brain, 262 torticollis, 150, 601 Meralgia paresthetica, 306 Mercurial inunctions in acute spinal leptomeningitis, 281 in neuritis, 291 Mercury in cerebrospinal syphilis, 492 in etiology of insanity, 709 in hydrocephalus, 274 in leptomeningitis, 88 in sciatic neuritis, 313 in tabes dorsalis, 453 Merkfahigkeit, 734, 754 Merycism, 149 Mesocephalic head, 686 Metallic poisons, insanity and, 709 Metatarsalgia, 308 Microcephalus, 687 Micromania, 737 Middle-ear disease, 66 Migraine, 645 course of, 648 diagnosis of, 648 etiology of, 645 headache in, 647 ophthalmoplegic, 646 pathology of, 648 prognosis of, 649 symptoms of, 646 treatment of, 649 Mimic spasm, 598 Mind-blindness, 69, 177 lesion causing, 171 Mirror-speech, 70 Mirror-writing, 70 Misophobia, 595 Modal change, 46 Mogigraphia, 577 Mongolian idiocy , 858 Monocular diplopia, 63 Monomania, 819 Monoplegia, 29 in tumor of brain, 264 Moods, 729 Moral causes of insanity, 715 treatment of insane, 770 Morbus sacer, 631 Morel ear, 699, 700 Morphin in caisson disease, 378 in chorea, 560 in etiology of insanity, 707 in leptomeningitis, 87 in mental disease, 769 in migraine, 649 in neuralgia, 657 in Raynaud's disease, 531 in sciatic neuritis, 313 in tabes dorsalis, 456 in tetanus, 542 Morphological stigmata of degeneracy, 21 Morton's disease, 308 Morvan's disease, 399 Motility, 28 increased, 30 920 INDEX. Motility, reduced, 28 Motor aphasia, 178 areas of pain, localization of, by elec- tricity, 49 disorders in insanity, 744 function, anomalies of, 704 neuroses, 562 points of face and neck, 42 of lower extremity, 45, 46, 47 of upper extremity, 43, 44 tics, 594 tracts of brain, 185-191 Movement, hallucinations of, 722 Movements, associated, 32 postplegic, 31 Multiple abscesses of brain, 242 cerebrospinal sclerosis, 473 bulbar symptoms of, 479 cerebral symptoms of, 479 course of, 479 diagnosis of, 480 etiology of, 473 forms of, 479 intention tremor in, 477 morbid anatomy of, 475 motor features of, 476 prognosis of, 481 reflexes in, 476 sensory symptoms of, 478 symptoms of, 476 treatment of, 481 trophic disturbances in, 479 vertigo in, 479 visual disturbances in, 479 neuritis, 314. See also Neuritis. recurrent, 329 neuromata, 292 paralyses of cranial nerves, 154 Muscles, 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, lesions of, 298 Mutism, 753 in dementia prsecox, 797 in hysteria, 68 Myasthenia gravis, 162 Myasthenic reaction, 49 Myelinic neuromata, 292 Myelitis, 361 acute bulbar, 162 syphilitic, 490 atrophy in, 364 central, 362 course of, 366 diagnosis of, 366 differentia], 367 disseminated, 362 etiology of, 362 morbid anatomy of, 362 motor symptoms of, 364 paraplegia in, 369 prognosis of, 367 reflexes in, 364 sensory symptoms of, 364 Myelitis, symptoms of, 363 transverse, 362 treatment of, 368 trophic changes in, 365 Myelocele, 383 Myoclonia, 563 diagnosis of, 565 etiology of, 564 prognosis of, 565 symptoms of, 564 treatment of, 575 Myoclonus, 563 diagnosis of, 641 epilepsy, 640 prognosis of, 641 treatment of, 641 Myoidema, 38, 319 Myoidism in tabes, 431 Myopathic facies, 411 Myopathy, primitive progressive, 408 Myositis in multiple neuritis, 314 Myotonia, 32, 582. See also Thomsen's disease. atrophica, 573 congenita, 572 family, 572 Myotonic reaction, 48 Myriachit, 600 Mysophobia, 775 Myxedema, 509 acquired, of adults, 509 congenital, 512 etiology of, 514 morbid anatomy of, 515 operative, 511 treatment of, 515 Myxedematous idiocy, 512 retardation, 513 Narcolepsy, 664 Narrow-headedness, 687 Nasal crises in tabes, 439 j Naso-occipital arc, 673, 691 ! Nasus aduncus, 698 Negation, delusion of, 738 Negativism in dementia prsecox, 797 Neologisms, 753 Nephritic crisis, 441 Nephritis in etiology of insanity, 710 Nerve, circumflex. See Circumflex nerve. divided, changes in, 285 regeneration of, 286 symptoms of, 285 treatment of, 287 division of, 285 electric tests of, in health, 42 median. See Median nerve. musculospiral. See Musculospiral nerve. phrenic. See Phrenic nerve. suprascapular. See Suprascapular nerve. suture of, 287 thoracic. See Thoracic nerve. ulnar. See Ulnar nerve. Nerve-grafting for neuromata, 294 Nerves, cutaneous distribution of, 52, 53 INDEX. 921 Nerves, electrical testing of, 41 inflammation of, 287. See also Neu- ritis. of lower extremity, lesions of, 306 of trunk, lesions of, 306 spinal. See Spinal nerves. Nerve-stretching for neuromata, 294 Nerve-trunk, lesion of, anesthesia in, 55 Nerve-tumors, 291. See also Neuro- mata. Nervous coughs, 143 diseases, functional, 495 organic, in etiology of insanity, 711 dyspepsia, 149 exhaustion, 584. See also Neuras- thenia. prostration, 584. See also Neuras- thenia. system, examination, in insanity, 753 syphilis of, 481 Neuralgia, 652 characters of, 653 conditions favoring, 653 in branches of trifacial, 122 in insanity, 744 pathology of, 654 treatment of, 656 trifacial, 655 varieties of, 655 Neurasthenia, 584 circulatory disorders in, 588 course of, 591 diagnosis of, 591 disorders of hearing in, 588 of smell in, 588 of taste in, 588 etiology of, 584 fear in, 590 forms of, 590 gastro-intestinal disorders in, 588 general state in, 590 genital disorders in, 589 headache in, 586 mental disturbances in, 589 motor disorders of, 585 nosophobias in, 589 photophobia in, 587 prognosis of, 591 secretory disorders in, 588 sensory disturbances in, 586 sleep in, 590 symptoms of, 585 tenderness in, 587 traumatic, 650 visual disturbances in, 587 field in, 64 Neuritis, 287 adventitious, 288 alcoholic, 326 diagnosis of, 290 etiology of, 287 leprous, 329 migrans, 288 morbid anatomy of, 287 multiple, 314 accommodation in, 323 alcoholic form of, 33 Neuritis, multiple, course of, 325 diagnosis of, 330 of the toxic cause of, 331 differential diagnosis of, from hys- teria, 331 from lead-poisoning, 326 from locomotor ataxia, 330 from myelitis, 330 from pernicious anemias, 331. from poliomyelitis, 330 electrical changes in, 319 etiology of, 314 general conditions in, 323 lesions in muscles in, 317 in nerves in, 315 of brain in, 316 of spinal cord in, 316 morbid anatomy of, 315 motions of eyes in, 322 nutrition in, 323 prognosis of, 331 pupils in, 322 recurrent, 329 reflexes in, 320 special forms of, 325 symptoms of, 317 mental, 323 motor, 317 muscular, 317 ocular, 322 sensory, 321 treatment of, 332 trophic conditions in, 323 vision in, 322 of brachial plexus, 304 causes of, 304 diagnosis of, 305 prognosis of, 305 symptoms of, 304 treatment of, 305 of branches of trifacial, 122 optic, 106 as a symptom, 195 parenchymatous, 288 prognosis of, 290 sciatic, 308 causes of, 308 diagnosis of, 311 double, 311 morbid anatomy of, 309 symptoms of, 309 tender points in, 310 treatment of, 312 symptoms of, 288 syphilitic, 491 treatment of, 290 Neuroma of brain, 260 Neuromata, 292 amputation, 292 amyelinic, 292 cellular, 292 diagnosis of, 293 dolorosa, 292 etiology of, 293 fibrillar, 292 ganglion, 292 multiple, 292 922 INDEX. Neuromata, myelinic, 292 prognosis of, 293 symptoms of, 293 traumatic, 292 treatment of, 294 Neuropsychoses, 843 Neuroretinitis, 106 Neuroses, 495 classification of, 495 fatigue, 577 following traumatism, 649 infection, 540 motor, 562 occupation, 20, 577, 583 Neurotabes, 451 Neurotic heredity in diagnosis, 18 Nightmare, 663 Night-terrors, 23, 663 Ninth nerve. See Glossopharyngeal nerve. Nitrate of strychnin in spinal progres- sive muscular atrophy, 408 Nitrite of amyl in bronchial asthma, 145 in tetanus, 542 Nitroglycerin in migraine, 649 in sciatic neuritis, 313 Nocturnal enuresis, 663 epilepsy, 637 Nodding spasm in hysteria, 622 Normal child, development of the facul- ties of, 879 Nose, anomalies of, 698 Nosebleed after middle life, 203 Nutrition, abnormal variations in, 39 Nystagmus, 115 Oblique line, 173 Obturator nerve, lesions of, 307 Occupation neuroses, 20, 577, 583 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, 703 Oligomelus, 703 Oliguria in insanity, 746 Operative myxedema, 511 Ophthalmic test in tubercular meningitis, 96 Ophthalmoplegia externa, 63 interna, 63 progressive, 155. See also Polio- encephalitis superior chronica. Ophthalmoplegic migraine, 646 Ophthalmoscope, importance of, to neu- rologist, 63 Ophthalmoscopic picture in amaurotic family idiocy, 253 Opisthognathism, 689 Opisthotonos in cerebellar disease, 190 Opium in epilepsy, 645 in insanity, 769 in mania, 781 in melancholia, 786 in paralytic dementia, 818 in Parkinson's disease, 572 in torticollis, 150 Opium-bromid treatment in epilepsy, 849 Optic nerve, anatomy of, 101 atrophy of, 40, 107 diseases of, 101 lesions of, 101, 106 neuritis as a symptom, 195 in tumors of brain, 263 thalami, function of, 187 lesions of, 105, 187 tract, lesions of, 101-106 Orbits, asymmetry of, 692 Orientation, patient's, 754 Orthognathism, 689 Osier's classification of acute leptomen- ingitis, 79 Osteo-arthropathie hypertrophiante pneumique, 529 Osteo-arthropathy, hypertrophic, 529 Osteoma of brain, 260 Othematoma, 745 Oxaluria in insanity, 746 Oxycephalus, 687 Pachydermatous cachexia, 509 Pachymeningitis, 74 cervicalis hypertrophica, 277 externa, 74 spinalis, 278 hemorrhagica, 74 interna, 74 course of, 74 diagnosis of, 76 etiology of, 74 pathological anatomy of, 74 spinalis, 277 symptoms of, 75 treatment of, 76 Pain, areas of, visceral disease and, 58 as a cerebral symptom, 195 as a symptom, 57 description of, by patients, 63 in angina pectoris, 147 in brain disease, 62 in myelitis, 363 in neuritis, 289 in sciatic neuritis, 309 in spinal tumors, 380 in syphilitic meningitis, 489 in tabes dorsalis, 432, 433 maximal points of, 58 sense, testing of, 51 Palate, asymmetrical, 693, 696 cleft, 694 deformities of, 692 dome-shaped, 693, 695 INDEX. 923 Palate, flat-roofed, 693, 695 Gothic, 693, 695 hip-roofed, 693, 696 with horsehoe arch, 693, 695 Palpebral reflex, 33 Palpitation, cardiac, 146 in brain tumor, 196 Palsies, combined, of nerves of arm, 302 in tabes dorsalis, 431 sleep, 665 Palsy, Bell's, 125 diver's, 376. See also Caisson dis- ease. scriveners', 577 wasting, 401 Panophthalmitis in leptomeningitis, 83 Papilla, optic, diseases of, 105 Papillitis, 105 in tumor of brain, 263 Papilloneuritis, 106 Paradoxical contraction, 37 Paraffin in facial hemiatrophy, 121 Parageusia, 67 Paragraphia, 69 Paraldehyd in mania, 781 in mental disease, 770 in senile dementia, 805 Paralysis, acute, ascending, 372. See also Landry's paralysis. agitans, 566. See also Parkinson's disease. beri-beric residual, 329 Brown-Sequard, cord-lesion in, 56, 57 bulbar, asthenic, 162 cerebral, of children, 246 chronic nuclear ocular, 155. See also Polioencephalitis superior chronica. diphtheric, 327 facial, 125. See also Facial paralysis. family periodic, 575 from brain-abscess, 243 from cerebral hemorrhage, 226 from cord-lesion, 344 hypoglossal, 153 in anterior poliomyelitis, 387 in cerebral softening, 225, 226 in hysteria, 620 in insanity, 744 in multiple neuritis, 317 in myelitis, 364 in syphilitic meningitis, 490 in tabes dorsalis, 431 labioglossolaryngeal, 157. See also Polioencephalitis chronica. Landry's, 372 laryngeal, 140. See also Laryngeal paralysis. masticatory, 119 multiple, of cranial nerves, 154 ocular, 110. See also Ocular palsy. of anterior crural nerve, 306 of auditory nerve, 134 of circumflex nerve, 297 of facial nerve, 125 of median nerve, 300 of musculospiral nerve, 298 of obturator nerve, 307 Paralysis of phrenic nerve, 295 of posterior thoracic nerve, 296 of sciatic nerve, 307 of spinal accessory nerve, 151 of superior gluteal nerve, 307 of suprascapular nerve, 297 of tongue, 153 pharyngeal, 139 progressive bulbar, 157. See also Polioencephalitis inferior chronica. pseudobulbar, 162 pseudohypertrophic, 417 svphilitic spinal, 77 ulnar, 301 Paralytic chorea, 559 dementia, 802, 805 definition of, 805 diagnosis of, 814 differentiation of, from alcoholism, 815 from cerebrospinal syphilis, 816 from multiple sclerosis, 817 from neurasthenia, 815 duration and prognosis of, 814 etiology of, 806 mental symptoms of, 809 pathological anatomy of, 817 physical symptoms of, 809 prodromal period of, 808 symptomatology of, 808 terminal period of, 814 treatment of, 818 Paramimia, 69, 177 Paramyoclonus, 573 multiplex, 564 Paramyotonia, congenital, 573 Paranoia, 819 alcoholic, 707 course and prognosis of, 842 definition of, 819 erotica, 823 etiology of, 820 expansive period of, 823 hallucinatoria acuta, 819 chronica, 819 invent oria, 823 morbid anatomy of, 842 periodica, 778 persecutory period of, 821 prodromal period of, 820 querulans, 823 reformat oria, 823 religiosa, 823 simplex acuta, 819 chronica, 819 symptomatology of, 820 treatment of, 842 varieties of, 819 Paranoid form of dementia prsecox, 801 Paraphasia, 176, 179 Paraphrasia, 69 Paraplegia, 29, 369. See also Paraplegic state. ataxic, 457 syphilitic, 490 from hematomyelia, 360 924 INDEX. Paraplegia, hereditary spastic, 469. See also Hereditary spastic paraplegia. in myelitis, 369 in spinal tumors, 380 Paraplegic gait, 370 state, attitude in, 371 etiology of, 369 gait in, 370 in myelitis, 369 prognosis of, 372 reflexes in, 371 symptoms of, 369 treatment of, 372 Parasyphilitic diseases, 493 acquired, 493 hereditary, 494 nervous disease, 481 Parenchymatous neuritis, 288 Paresis, general, in cerebral hemorrhage, 219 Paresthesia in multiple neuritis, 321 in neuritis, 288 Paresthesia?, 55 Parkinson's disease, 566 course of, 571 diagnosis of, 572 etiology of, 566 mental state in, 571 morbid anatomy of, 566 muscular rigidity in, 568 palsy in, 571 sensory disturbances in, 571 symptoms of, 567 treatment of, 572 trembling in, 569 Past illness, investigation of, 19 Patellar point, 310 reflex, 36 Pathological drunkenness, 707 Patient, antecedents of, 18 examination of, 17-71 observation of, in insanity, 751 Pavor nocturnus, 663 Pellagra, 470 treatment, 472 Pellarella, 470 Percussion in brain disease, 195 Per-arteritis, cerebral, 202 Perineuritis, 288 Periodical mania, 779 swelling, 534 Peripheral nerves, trophic disease of, 40 paralysis in insanity, 744 Peroneal nerve, lesions of, 307 variety of idiopathic muscular atrophy, 417 Persecution, delusion of, 737 Personal history, 19 Peterson's calipers, 689, 690 Petit mal, 638 Pharyngeal crises, 442 paralysis, 139 Pharyngeal reflex, 34 spasm, 139 Phenacetin in acromegalia, 503 in epilepsy, 645 in tabes dorsalis, 456 Phocomelus, 703 Phosphaturia in insanity, 746 Photophobia as a symptom, 62 in leptomeningitis, 82 Phrenic nerve, lesions of, 295 Physical examination, 24 strain, 705 Physiognomy of patient, 21 Physiological factors in etiology of in- sanity, 713 Pia mater, 742 inflammation of, 78. See also Lep- tomeningitis. visceral, 72 Pial hemorrhage, 76 space, 72 Pilocarpin in aural vertigo, 138 in nervous deafness, 135 Pirquet's test in tubercular meningitis, 96 Pituitary extract in adiposis dolorosa, 507 feeding in adiposis dolorosa, 507 gland, 496 tumor with acromegaly, 260 with hydrocephalus, 271 Plagiocephalus, 687 Plantar nerve, external, lesions of, 308 internal, lesions of, 308 points, 310 reflex, 37 Platicephalus, 687 Platysma, motor center for, 169 Pneumococcus in leptomeningitis, 79 Pneumogastric nerve, See Vagus. Polar change, 47 Polio-encephalitis, combined forms of, 162 inferior chronica, 157 course of, 160 diagnosis of, 161 etiology of, 157 morbid anatomy of, 158 symptoms of, 158 treatment of, 161 superior, acute, 157 chronica, 155 course of, 156 diagnosis of, 156 etiology of, 155 pathological anatomy of, 155 symptoms of, 155 treatment of, 156 Poliomyelitis, acute anterior, 384 ascending form, 390 course of, 390 deformity in, 388, 389 diagnosis of, 390 etiology of, 384 forms of, 390 morbid anatomy of, prognosis of, 391 symptoms of, 387 treatment of, 391 chronic, 401 Polydactyly, 703 Polymastia, 703 Polyneuritis, 314. multiple. 385 See also Neuritis, INDEX. 925 Polyuria in insanity, 746 Pons Varolii, function of, 188 symptoms of lesions of, 188 Popliteal nerve, external, lesions of, 307 internal, lesions of, 308 point, 310 Posterior columns of cord, effect of lesions of, 348 horn of cord, effect of lesions of, 356 roots of cord, effect of lesions of, 356 spinal arteries, 343 Posterolateral sclerosis. 457. See also Combined sclerosis of cord. Postplegic movements, 31 Precordial anxiety, 730 fright, 730 Presenile paranoid condition, 805 Present condition of patient, 24 Pressure sense, testing of, 51 Prodromes, epileptic, 634 Prognathism, 689 Progressive bulbar paralysis, 157. See also Polioencephalitis inferior chron- ica. general paralysis, 805. See also Para- lytic dementia. locomotor ataxia, 422. See also Tabes dorsalis. muscular atrophy, 400 idiopathic, 408 course of, 416 etiology of, 409 morbid anatomy of, 410 prognosis of, 419 symptoms of, 411 treatment of, 419 varieties of, 417 spinal, 400 course of, 407 diagnosis of, 407 differential diagnoiss of, 407 etiology of, 401 morbid anatomy of, 402 prognosis of, 408 symptoms of, 403 treatment of, 408 varieties of, 407 with cord lesions. See Progres- sive muscular atrophy, spinal. without cord lesions. See Pro- gressive muscular atrophy, idio- pathic. dystrophy, 408 ophthalmoplegia, 155. See also Polio- encephalitis superior chronica. spastic ataxia, 457. See also Com- bined sclerosis of spinal cord. systematized insanity, 819. See also Paranoia. Projectile vomiting as a symptom, 194 Propulsion, 569 Protopathic sensibility, 55 Psammoma, 260 Pseudo-apraxia, 736 Pseudo-ataxia, 736 Pseudoataxie cerebelleuse, 463 Pseudobulbar paralyses, 162 Pseudocerebral tumor, 267 Pseudochorea, 736 Pseudodementia, 732 Pseudohypertrophic paralysis, 417 Pseudomelia paresthetica, 216 Pseudomeningitis, hysterical, 623 Pseudoparalysis, congenital atonic, 418 Pseudoparaphrasia, 736 Pseudoparesis, syphilitic, 487 Pseudotabes, 451 Psychanalysis, 756 Psychasthenia, 590, 594 course of, 596 diagnosis of, 597 etiology of, 596 onset of, 596 prognosis of, 597 termination of, 597 treatment of, 597 Psychic degeneration of epileptics, 845 equivalent of epileptic attack, 639 Psychogenia, 843 Psychogeny, 843 Psychopathy, 671 Psychosis, 671 alcoholic, 805 Korsakoff's, 707 litigation, 651 senile, 802, 805 Korsakoff's, 804 traumatic, 651 Psychotherapy, 763 Ptosis as a symptom, 62 sleep, 665 Puberty in etiology of insanity, 713 Puerperal state in etiology of insanity, 714 tetanus, 541 Pulmonary branches of vagus, affections of, 143 Pulse in leptomeningitis, 83 in polio-encephalitis inferior chronica, 160 in spinal leptomeningitis, 282 in tubercular leptomeningitis, 93 Puncture, spinal, 27 Pupil, irregularities of, 63 Pupillary reflex, 33 Pupils in leptomeningitis, 83 in multiple neuritis, 322 in tubercular meningitis, 94 Purulent meningitis, 78. See also Lep- tomeningitis. Pyramidal tracts, effect of lesions of, 348 Qualitative change, 47 Quantitative change, 46 Quincke's disease, 534 lumbar puncture, 27 in serous meningitis, 98 in spinal leptomeningitis, 217 Quinin in aural vertigo, 138 in chorea, 560 in multiple neuritis, 333 sclerosis, 481 in neuralgia, 656 926 INDEX. Rabies, 542 Raptus melancholicus, 792 Raynaud's disease, 529 course and prognosis of, 531 diagnosis of, 531 etiology of, 530 symptoms of, 530 treatment of, 531 Reaction, hemianopic pupillary, 104 myasthenic, 49 myotonic, 48 of degeneration, 46 in facial paralysis, 128 partial, 47 Wassermann, 25 in cerebral syphilis, 488 Reasoning mania, 779 Reciprocal insanity, 716 Rectus clonus, 37 reflex, 37 Recurrent mania, 779 multiple neuritis, 329 Red cerebral softening, 223 Referred sensation, 54 Reflected tone, 729 Reflex, abdominal, 35 Achilles tendon, 37 anal, 38 sphincteric, 38 bulbocavernous, 441 ciliary, 33 cremasteric, 38 disorders in insanity, 745 epigastric, 35 heel-tendon, 37 mandibular, 34 palpebral, 33 patellar, 36 pharyngeal, 34 plantar, 37 pupillary, 33 rectus, 37 sphincter, 38 supra-orbital, 33 triceps, 35 virile, 38, 441 Reflexes, 32 in anterior poliomyelitis, 388 in hysteria, 610, 611, 620 in lesions of spinal cord, 346 in multiple cerebrospinal sclerosis, 746 neuritis, 320 in myelitis, 364 in myoclonus epilepsy, 640 in paraplegic state, 371 in progressive muscular atrophy with cord lesions, 406 in spinal tumors, 380 in tabes dorsalis, 435 of lower extremity, 35 of upper extremity, 34 Refraction, errors of, importance of, 63 Refusal of food, management of, 772 Regeneration of a divided nerve, 286 Regression, law of, 728 Resection of nerve-roots in tabes dorsalis, 456 Residence, importance of, 20 Respiration in leptomeningitis, 84 in tubercular leptomeningitis, 93 Respiratory organs, examination of, 24 Rest in multiple neuritis, 333 in neuritis, 291 in sciatic neuritis, 312 Rest-cure, 765 Retina, diseases of, 105 Retinitis, 105 Retrograde amnesia, 734 Retropulsion, 569 Reversion, 682 Rheumatism, relation of, to chorea, 551 Right-handedness, cause of, 167 Rigidity in tubercular leptomeningitis, 93 muscular, in leptomeningitis, 72 Rhine's test, 65 Robertson pupillary sign in tabes, 437 Romberg, sign of, 429 symptoms, 30 Rontgen rays in brain disease, 196 Rumination, 149 Sagittal line, 172 Salicylate of soda in auto-intoxication, 768 Salicylates in adiposis dolorosa, 507 in anterior poliomyelitis, 391 in facial paralysis, 131 in Landry's paralysis, 376 Saline solution in cerebral softening, 230 Salol in auto-intoxication, 768 in epilepsy, 644, 850 in multiple neuritis, 333 in myelitis, 368 Saltatory chorea in hysteria, 622 Salvarsan as preventive of paresis, 762 in cerebral syphilis, 492 in paralytic dementia, 818 in tabes dorsalis, 453 Sarcoma of brain, 257 Scanning speech, 68 Scaphocephaly, 688 Schnauzkrampf, 800 Sciatic nerve, great, lesion of, 307 neuritis, 308. See also Neuritis. scoliosis, 310 Sclerodactylie, 527 Scleroderma, 527 etiology of, 527 symptoms of, 527 treatment of, 528 Scleroma adultorum, 527 Sclerose en plaques, 473 Scleroses of spinal cord, combined, 457 Sclerosis, amyotrophic lateral, 401 disseminated, 473 multiple cerebrospinal, 473. See also Multiple cerebrospinal sclerosis. of posterior columns of cord, 422. See also Tabes dorsalis. of spinal cord from vegetable intoxi- cants, 470 posterolateral, 457. See also Com- bined sclerosis. INDEX. 927 Sclerosis, sciatic, 310 Scotch douche, 767 Scotoma, central, 104 Scotomata, 64 Scriveners' palsy, 577 Scurvy, Alpine, 470 Secondary dementia, 802. See also De- mentia. Secretory disorders in insanity, 745 Sedatives in leptomeningitis, 88 Senile chorea, 564 dementia, 802, 803. See also De- mentia. hypochondriasis, 804 Korsakoff's psychosis, 804 mania, 804 melancholia, 804 paranoid condition, 804 psychoses, 802, 805 Senility in etiology of insanity, 715 Sensation, disorders of, in insanity, 721 intensity of, 726 qualitative, 721 tone of, 726 general consideration of, 49 referred, 54 testing and examination of, 50 Sensibility, deep, 55 epicritic, 55 hallucinations of, 722 illusions of, 726 protopathic, 55 Sensory conditions, 49 cortical localization, 170 disorders, actions induced by, 741 in insanity, 744 disturbances from brain-lesion, 193 function, anomalies of, 704 paths, 185 tone, disorders of, 726 Serous meningitis, 97. See also Menin- gitis, serous. Serum, antistreptococcus, in chorea, 561 Flexner's, in diploccocus variety of meningitis, 90 in leptomeningitis, 88 Seventh cranial nerve. See Facial nerve. Sex in etiology of insanity, 681 Shaking palsy, 566 Shingles, 334. See also Herpes zoster. Shoulder, center for movements of, 169 Sight, affections of, in tubercular lepto- meningitis, 93 examination of, 62 hallucinations of, 722 Sign, Kernig's, in leptomeningitis, 82 in tetanus, 540 leg, in tetany, 548 Signal symptom, 32, 193 Simulo in epilepsy, 849 Sinus thrombosis, 232 infective, 234 cavernous, 235 lateral, 236 longitudinal, 237 symptoms of, 235 Sinus thrombosis, infective, treatment of, 237 marantic, 233 diagnosis of, 233 prognosis of, 234 symptoms of, 233 Sinuses, cerebral, anatomy of, 231 Sixth nerve, anatomical considerations of, 109 effect of division of, 110 Skin, anomalies of, 704 trophic disturbances of, 39 | Sleep, disorders of, 658 drunkenness, 663 importance of, in diagnosis, 23 palsy, 298, 665 physical features of, 658 ptosis, 665 requirements for, 659 Sleeping sickness, 665 Smell, center for, 171 examination of, 66 hallucinations of, 722 illusions of, 726 loss of, 100 Sodium iodid in cerebrospinal syphilis, 492 _ Softening, cerebral, 222. See also Cere- bral softening. Somnambulism, 661 Somnolentia, 663 Sounds, subjective, 66 Space sense, disturbance of, 66 Spasmodic asthma, 143. See also Asthma, bronchial. tabes, 457 torticollis, 149, 600 wryneck, 149 Spasmogenic point or zone, 611 Spasms, 31 clonic, 31 facial, 124, 600 from cord-lesions, 344 hypoglossal, 152 hysterical rhythmical, 622 idiopathic muscular, 38 laryngeal, 142 lingual, 152 masticatory, 119 mimic, 598 occupation, 577 of ocular muscle, 115 of spinal accessory nerve, 149 pharyngeal, 139 tonic, 31 Spastic paraplegia, hereditary, 469. See also Hereditary spastic paraplegia. Special senses, examination of, 62 Speech, anomalies of, 705 center for, 170, 174 examination of, 67 Sphincter reflex, 38 Spina bifida, 382 diagnosis of, 383 etiology of, 383 occulta, 382 prognosis of, 383 928 INDEX. 