None
Lumbago, traumatic. 146 Lumbar plexus, diseases of, 848 puncture, 969 Lyssa, 215 MACEWEN'S diflterential note. 379 Macrenc«phalia. 339 etiology of, 340 fontanelles in, 340 gyri in, 340 skull in, 340 symptoms of. 340 Main en grifl'e. 846 Malarial neuritis, 782 symptoms, 732 Malformations of brain, 315 cranial percusiion Malformations of brain, artificially produced, 318 ft>om ependymitis, 818 of spinal cord, 521 Mammary neuralgia, 847 Maniacal chorea, 250 Mannkopfs symptom, 147 Masticatory spasan, 272 Mastodvnia, 847 Mastoid abscess, surgical treatment of, 972 Maternal impressiuns, 341, 507 Measurements of head in children, 967 Mechanical injuries ol nerves, 741 vertigo, 948 Meckel's ganglion, removal of, 999 Mendel's dog experiments, 142 Median nerve, paralysis o^ 844 surgery of, 1002 Megrim, 939 M6niiie's disease, 945 etiology and symptoms, 946 theories of. 946 Meningeal apoplexy, 862 symptoms of, 363 treatment of, 863 hemorrhage, 862 causes of, 362 location of, 362 spinal, 544 spontaneous, 362 treatment of, 363 traumatic. 363 diagnosis of, 864 Hutchinson's pupil, 364 prognosis, 365 treatment. 865. 981. 983 Meningitis, 348, 858. See Pachymeningitis, Lepto- meningitis, spinal, 533 surgical treatment of, 970 Meningocele, 341. 525 ttom spina bifida, surgical treatment of, 980 Meningo-encephalocele, 341 -ependymitis. 343 -myelocele, 525 fh>m spina bifida, surgical treatment d, 989 Memory of names or nouns, 427 Mercurial poisonine, 201 amblyopia from, 202 diagnosis, 202 etioieg>', 201 pathology, 201 prognosis. 202 sensory disturbances in, 202 symptoms, 201 treatment. 202 tremor in. 202 Metatarsal neuralgia, 854 Method of testing pupillary reactions, 795 Meynert on the cortex, 396 Meynert's fibres, 796, 798 Micrencephalia, 316, 323 absence of calloeum in, 329 aosence of lobes in, 338 alcoholism in, 834 ape-like fissures in, 825 asymmetry in. 328 atavism in, 834 atypical gyri in, 328 brain weight in. 325 cleft palate in. 333 club-toot in, 334 cortex in, 333 external perpendicular, fissure in, 326 extremities in, 333 IsBural anomalies in, 325 larelip in. 833 leredity in, 834 sland of Reil in, 827 , unction of crura in, 331 unction of hemispheres in, 888 Ife history in, 334 pathology of, 325 pons in, 330 sulci and gyri in. 825 Sylvian fissure in, 327 transition gyri in, 826 INDEX. 1043 Micrencephalla, treatment. 832 Mlcrencephalia, ZwickelwinduDg In, 827 Mlcrocepnalia, 323 cranial capacity in, 324 cranial measurements in, 325 cranial sutures in, 324 skull in, 324 surgical treatment of, 967 Microgyria. 331 cortex in, 331 Higraine, 937 diagnosis, 942 etioioey, 939 pathology, 940 prognosis, M2 symptomatology, 940 treatment, 942 constitutional, 943 electrical, 943 of attack, 943 Mimic spasm, 270 Mind-blindness, 437, 439 Miryachit. 261 Mirror writing. 4d9 Mogigraphia, 276 Monocular tr diplopia, 114 Monophobia, 65 Monoplegia, 27 brachial. 27 crural, 27 Morbid sleep. 9r>5 Morphinism, 193 diagnosis. 194 etiology, 193 pathology, 193 prognosis, 194 symptoms, 19 > treatment, 194 Morphoea, 902 symptoms and distribution, 902 Morphology, relation to nervous diseases, 17 Morton's airectiou of the foot, 854 fluid, 9S8 Morvan's disease, 597 course of, 598 pathology of. 598 peripheral neuritis, 508 prognosis of. 599 symptoms of. 597 atrophy of muscles. 5^ dissociation of cutaneous sensation, 5»7 electrical contractility, 596 neuralgic pains, 597 painless felon, 597 reflexes, 596 sphincters, 596 ulceration, 598 treatment of, 599 Motor aphasia. 433. 434, 496 area, its boundaries, 403 its divisions, 4(Xi ftinctions of, 400 centres, 400 re-enforcement, 28 Movements. 19 Multiple cerebro-spinal sclerosis. 661 atypical forms of. 663 course and duration, 665 diagnosis, 666 etiology, 661 forms of, 661 patholoey, 663 prognosis, 666 symptomatology and course, 661 treatment. 666 neuritis, 726 course of, 727 diabetic, 733 diagnosis, 731, 736 from anterior poliomyelitis, 786 from ascending myelitis, 786 fh)m locomotor ataxia, 786 endemic, 733 etiology of. 726 follo\ving diphtheria, 731 following typhoid fever, 782 Multiple neuritis, from alcohol, 727 finom arsenic. 731 firom carbonic oxide, 780 ttom lead, 730 from malaria, 732 fit>m rheumatism, 738 firom syphilis, 788 history, 726 idiopathic, 726 of old age. 738 pathology, 735 pro^ouB, 736 septicsemic, 733 symptoms of. 196, 727, 780, 731 treatment, 737 arsenic, 738 coal-tar derivatives, 787 electricity, 788 massage, 738 potassium iodide, 788 rest, 737 salicylates. Myelltifl, acute transyerae. peiiii and touch in, 561 pathology of, 557 priapism in. 564 prognosis of, 567 pupils in, 562 red softening in, 559 reflexes in, 562 seat of hedsores in, 564 secondary degeneration in, 558 sensation in, 561 sensibUity in. 561 spastic paraplegia in, 562 sphincters in, 563 symptoms, 558 anasthesia, 558, 559, 561 anorexia, 560 bedsores. 558, 560 bladder and bowels in, 560, 568 bladder symptoms, 559 bullse, 558 chills, 559 convulsions, 559 degree of paralysis, 560 electrical reactions, 658 feeling in legs, 559 fever, 559, 560 girdle sensation, 559 Srouping of symptoms, 559 eadache, 559, 560 heaviness of legs, 559 incontinence in, 560, 568 intellect in, 560 malaise. 559 numbness, 559 order of development, 559, 560 pains in limbs, 559, 560 paralysis, 558. 559, 562 of arms in, 660 premonitory symptoms, 559 rapidity of onset in, 559 reaction of degeneration, 560 reflexes, deep and superficial, 560 respiration. d60 retention of urine, 560 temperature, 560 variations in symptoms, 659 wasting of muscles, 558, 560 weakness of legs, 559 table of symptoms in lumbar, dorsal, and cervical myelitis, 566 temi^irature of the skin, 564 termination of, 564 treatment of, 567 care of the bladder, 569 cold to the spine. 569 derivation by way of the legs, 569 electricity, 570 ergot, 568 massage, 570 of bedsores, 569 potassium iodide, 569 strychnine, 569 warm baths, 568 wet cups, 568 total loss of reflexes in, 5<)3 trophic disturbances, 564 white Koftening in, 557 zone of bypertesthesia in, 561 upoplectiform. 559 cnronic, 570 anatomical peculiarities of, 570 a sequel of acute myelitis, 570 course and termination of, 572 diagnosis of, 573 Arom chronic poliomyelitis, 573 from compression myelitis, 573 fh)m progressive muscular atrophy, 673 fh)m spastic mraplegia, 573 flnom tumor, o74 etiology of. 570 alcoholism, 570 exposure, 570 secondary to ascending neuritis. 570 to meningitis. 570 traumatism, 570 path<dogical anatomy of, 570 Myelitis, primary, 570 acute, prognosis of, 573 symptoms of, 571 anaesthesia, 571 atrophy. 571 bladder and bowels. 671 eait. 571, 572 Heaviness and weakness of legs, 671 pains. 571 reflexes, 571 resemblance to spastic paraplegia, 572 sensory disturbances, 6/2 treatment of, 574 counter-irritation, 674 electricity, 574 iodides, 574 of bedsores, 575 rest, 674 warm baths, 674 climate, 674 forms of. 556 subacute, 559 course of. 561 symptoms, 561 absence of special symptoms. 561 anesthesia, 061 paralysis, 561 Myelocele, 527 Myoclonus multiplex, 268 prognosis of. 1046 Neoralgia, character of pain In, 751 crural, 854 degenerative. 817 diaffnods. 751 epileptiform. 816 of fifth nerve. 814 degenerative. 817 diagnosis. 817 epileptiform, 816 etiologv, 814 herpetic, 816 prognosis, 817 reflex, 816 removal of Oasserian ganglion for, 978 symptoms, 815 of first or ophthalmic division, 815 migratory pains, 816 radiation of pain, 816 of second or superior maxillary division, 816 tender points. 815, 816 of thiid or inferior maxillary divi- sion, 816 tic convulsif, 816 trophic disturbances, 816 vasomotor disturbances, 816 treatment. 817 electricity. 819 local measures, 819 medicinal, 817 surgical measures, 820 herpetic, 816 idiopathic, 750 intercostal. 847 lumbo-abdomlnal, 854 mamma r>', 847 metatarsal, 854 nerve section for, 820 stretching for. 820 neurectomy for, 820 occipital, 835 pathology. 751 plantar, 854 reflex. 816 removal of Gasscrian ganglion for, 820. 978 symptomatic. 750 symptoms of. 731 tic douloureux, 751 treatment. 817 trigeminal, 814 Neurasthenia, 51 aching of limbs in, 59 adventitious auditory symptoms in, 68 head symptoms in, 59 limb-sensations in. 59 visual symptoms in, 62 anomalies of visual perception in. 62 appetite in, <>7 apperception in. 63 auditory hyperscsthesia in, 62 backache in, 68 insomnia in. 66 cerebral visual centres in. 61 circulatory disturbances in, 68 cutaneous hypertesthesia in, 69 diagnosis of, 77, 78 digestive disturbances in, 67 disorders of hearing in. 62 of smell in. 63 of taste in, 63 distraction in, 63 dreams in, 66 etiolog>', 52 fatigue sensations in, 57, 58 fear in, 65 forms of, 73 giddiness in, 58 handwriting in. 66, 67 headache in, 58 heart-murmur in. 69 hyperklnwis in. 70 hypochondria In, 64 ideas in. (>;{ inattention in. €<i intellectual elTort in, 63 intn>s|>ectU)n in, (VI irritability in, 64 Neurasthenia, Joints in, 70 masturbation in, 72 memory in, 63 mental affections in, 64 mental fatig:ue in. 63 mictnrition in. 71 nerve cells in. 74. 75 nosophobia in, 64 numbness in. 60 olfiMtory hypersestheaia in, 68 parssthesla in, 63 orgasm in, 78 oxalates in, 71 palpitation of heart in, 68 parcesthesias in, 60 of taste in. 63 pathology of. 73. 74. 75, 76, 77 pelvic disease in, 73 perspiration in, 70 phosphates in, 72 polyuria in. 71 prognosis of. 78 psychic disturbances in, 63 pupillary phenomena in, 62 rest in, 79 retina in, 61 saliva in, 70 secretions In. 70 senescence in. 77 sexual. Neuritig of ulnar nerve, 724, K45 pathological anatomy, 722 of Bdatic nerve, 849 symptomB, 722, 780 treatment, 725 internal medication, 725 local applications, 725 rest, 725 Neoro-electrotherapeutics, 1007 mimesis. 111 retinitis, 755 Neuromata, 789 amputation, 739 iklse, 740 true, 789 Buivical treatment of, 740 Neurotic vertieo, 948 Neurotomy, 9^ Nightmare, 954 palsy, 956 terrors, 954 Nocturnal epilepsy, 298 Nodding spasm, 272 Normal electrical reaction, 88, 39 fundus, 754 Nuclear paralysis, 784 acute, 785 chronic. 786 of the sixth nerve, 789 Numb fingers, 721 Nyctophobia, 66 Nystagmus, 42, 793 associated with other movements, 794 causes of. 794 congenital, 798 extent of movements, 793 frequency of movements, 793 in aidvanced tabes. 793 in brain tumor, 498 in cerebellar tumors. 794 in difTUse degenerations, 794 in disseminated sclerosis. 793 in focal brain disease. 794 in Friedreich's ataxia, 793 lateral, 793 rotary, 793 unilateral, 793 vertical. 793 OBLIQUE illumination. 46 Object-blindness. 437, 439 Obturator nerve, mralysis of, 849 Occipital lobe ana amblyopia, 421 and heraianopia. 421 and vision. 420. Vl\ Occipitalis major nerve, siirgeryof, 1002 minor nerve, surgery of; 1002 Occupation spasms. 276 Ocular muscles, associated movements, 777 oonvul^ons of, 79:^ field of fixation, 777 paralysis of, 777 general symptoms, 777 altered carriage of the head, 777 diplopia. 777 false projection of the field of vision, /77 primary deviation, 777 secondary deviation, 777 vertigo, 777 strabismus, 777 physiological action of, 776 spasm of, 792 three pairs of. 776 nerves, diseases of, 773 palsies, 777 from contracted pupil, 790 from diabetes. 782-791 fh)m dilated pupil. 790 from diphtheria, 782-791 from influenza, 782-791 from injuries, 782-791 from lesions in the region of the cavernous sinus. 790 in the region of thei phenoidal fissure, 782,790 Ocular palsies, from ophthalmoplegia, 790 from poisons, 782-791 in disseminated sclerosis, 791 in Friedreich's ataxia, 791 in paretic dementia, 791 in tabes, 791, 786 differentiation from palsies du6 to le- sions of the nerves themselves, 791 prognosis, 791 in nuclear palsy, 792 in peripheral and baaal palsies, 792 proptosis, 790 from rheumatism, 782-791 their significance, 788 treatment, 792 electrical, 792 mechanical. 792 medical, 792 surgical, 792 Oculo-fiacial group, 776 motor nucleus, 778 nerve, anatomy of, 778 diseases of, 773 paralysis. 1047 optic neuritis, neuroretinitis, 755 orbital, 755 pathology and pathological anatomy, 761 significance of, 758 svmptomatology of, 759 theories of. 755 treatment, 761 vision in, 760 oculomotor reflex, 796 path, its divisions, 422, 491 termination of, in corpora geniculataand optic thalamus, 753 visual radiations. 753 Orbital optic neuritis, 761 Orthotonos, 212 Oscillations of head and trunk in normal walk,21 of normal walk, 21 of foot in the normal walk, 22 Osteoplastic resection of skull, 961 Ottuematoma, 689 Otitic abscess, 876, 971 Oxaluria, 72 Oxyecoia, 808 PACHYACRIE. 891 Pachymeningitis. 348 counter-irritation in, 349 external, 348 of children, 350 headache in, 348 hemorrhagic, 851 diasnosis of, 352 hemorrhagic, pathology of, 851 hemorrhagic, spinal, 539 surgical treatment of, 971 hypertrophica cervicalis, 588 symptoms of. 588 internal spinal, 589 internal cerebral, 850 ossific, 318 purulent external, 348 spinal, 533, 538, 539 surgery in, 350 syphilitic, 352 traumatic, 349 treatment of, 349 tuberculous. 352 Painiul tubercle, surgical treatment of, 995 Pain sense, 'A\ methods of testing, 35 Palsy. 27 general. 27 local. 27 multiple, 27 Palmus. 261 Pantomime. 436 Pantophobln, 66 Papillitis. 4C.. 7.V) appearance of nerve In, 760 course and prognosis, 760 diagnosis. 7tjo etiology, 757 significance of. 758 svmptomatology of, 759 theories of, 755 treatment, 761 vision in, 760 Pam'sthesia, 34 Paresis, 27 Parageusia. 806 Paragraphia. 4:». 440 Paralexia. \\\(i, 43k, 440 Paralysis, 27 agitans. 2H8 diagnosis. 293 duration, 2HU etiology. 289 morbid changes in, 291 I)athology. 290 i)ronnoMs, 290 symptoms, 2X8 treatment, 294 tn»mor in. 2S8 anterior crural nerve, 849 auditory nerve. 8iM> brachial plexus. 8:i9 ParalyslB, brachial nlexus, diagnosis, 841 etiology, 839 symptoms, 839 in ascending neuritis, 889 in Klumpke's paralysis. 840 in paralysis fh>m fhicture or dis- location of the humerus, 840 in paralysis of the lower arm type. 840 in paralysis fh>m morbid prooessa in the neck, 840 in paralysis of the upper arm type. 840 in primary brachial nenrltis, 889 treatment, 841 in cervical myelitis. 562 in dorsal myelitis, 562 in lumbar myelitis, 562 of ciliary muscle, 801 of circumflex nerve, 842 of convergence, 40, 788 of external cutaneous nerve, 848 ocular muscles, 777 general symptoms. 777 altered carriage of head, 777 diplopia. Fualyiis of sixth nerve, as a direct symptom, 789 lis a distant symptom, 789 association witn paralysis of the ilEiclal. 789 hasilar, 789 nuclear, 789 occurring with hemiplegia, 789 of small sciatio nerre, 854 of spinal portion of spinal accessory nerye,882 symptoms, 832 treatment, 832 of superior gluteal nerve, 849 of supra-scapular i of third nerve, 789 nerve, 2:42 as a distant symptom, 789 apparent ptosis, 790 ptOBis as a distant symptom, 789 with crossed hemiplegia, 790 from disease of the corpora quadrigemlna, 789 from nuclear disease, 789 in diphtheria, 790 douhle, 790 from nuclear disease, 790 from meningitis, 790 in non-syphllltic tabes, 790 in syphlUs, 790 of tongue, 882 from Infra-nuclear disease, 888 from nuclear disease. 883 from supra-nuclear disease, 833 of trochlear nerve, 789 of ulnar nerve, 845 spastic, 27 Paralytic convergent squint, 40 dementia, 667 Parkinson's disease. 288 Paramimia, 436, 440 Paramyoclonus, 268 Paraphasia, 436, 488, 440 Paraplegia. 27 of childhood, 511, 517 Paresis, 667 Paretic dementia, 667 ascending form. 674. 694, 695 circular form of, 680 diagnosis, 695 differential, from " syphilitic paresis," syphilitic demen- tia, 696, 697 differentiation from alcohol- ism, 697 lead encephalopathy, 697 tumor, 697 from neurasthenia, 696 duration, 690 in males and females, 691 of the depressive iorm, 691 of the expansive form, 691 of the simple demented form, 691 etiology, 667 general symptoms common to all forms of the established disease, 680 mental phenomena, 680 physical plienomena, 680 diplopia, 681 Kait, 681 handwriting, 681 knee-jerks, 681 movements, 681 muscular weakness, 680 myosls, 681 ptosis, 681 reaction of pupili> to light, 681 spasmodic twitching, 681 speech, 681 tremor, 680 unequal pupils, 681 pathology and itathological anatomy, 691 autoloxin, U93 brain tissue, 692 cells of Deiters. 692 changes in bloodvessels, 692 changes in the ealvarium, 691 Paretic dementia, pathology and pathological anatomy, changes in the dura, 691 chang^ in lymphatic supply, 692 changes in the nerve cells, 092 changes in the peripheral nerves, 695 changes in vascular supply, 692 convolutions, 692 oord changes, 698, 694 descending degeneration, 698 ependymins, 692 fissures, 692 fluency of disease of poste- rior columns in paresis, 695 hemorrhagic pacbymeniDgi- tU, 691 interstitial processes, 698 leptomeningitis. 691 Mendel's dog experlment8,693 meningo-encephalitis, 691 cedema of membranes and brain, 692 parenchymatous changes, 698, 694 pathology of the tabetic form, 694 proliferation of the conoeo- tive-tissue elements, 092 proliferation of the neurog- lia, 692 spider cells. 1049 Paretic dementia, motor symptoms, seizures, 685 apoplectiform attacks, 685 epileptiform attacks, 685 hysteriform. 687 sequelae of, 686 temperature follow- ing. 686 tetaniform, 687 speech disturbances, 685 weakness, tremor, ataxia, 685 psychic symptoms, 688 anomalies of the coensos- thesis, 684 anomalies of conscious- ness, 684 anomalies of the special senses. 684 crimes by paretics, 684 delusions, 684. 685 hallucinations, 684 illusions, 684 loss of Inhibitory control, 684 losses, 683 perversions of the moral sense, 684 quantitative and qualitative changes, 683 sensory symptoms, 687 ataxic pains. 687 cutaneous sensibility. 687 general and special, 680 eadache, 687 neuralgia, 687 smell, 687 taste. 687 vision, 687 surgical treatment of, 978 symptoms and course of, 671 course of the depressive form, 680 delusions of belittlement, 679 delusions of physical ills, 679 delusions of spiritual ills, 679 depressive delusions, 679 hallucinations, 679 hypochondriaHis, 679 melancholia, 679 mental depression, 679 silent excitement. 680 first stage of ihe established disease. 676 symptoms of the exjpansive form, 676 transition from initial period, 679 of simple or uncomplicated form, 680 loHs of memory, 680 quiet dementia in, 680 initial peritHl of, 672 apoplectiform attacks, 675 appearance, 672 delusions of grandeur, 677 examples of, 677 dementia. 673 destrnctivenesR, 679 diurnal variation of symptoms, 67;') duration of the initial period, 675 eating and drinking, 673 essential features of the initial period, 675 epileptiform attacks, 675 emotions, (>73 excitement, 679 expansive state without well* murlced deluAions. 678 extravHgunt enterprises, 674 facial expression, 678 forget fu I nesi<. 673 headaches, 072 hyiK)ch<)n(lria8is, 676 iu<igment, 677 : nee-jerks, 674 mania, ♦579 melancholy. 676 mental condition. 672 Paretic dementia, initial period of, moral nature, 674 motor excitement, 679 movements, 674 neuralgic pains, 672 obficemty, 678 physical conditions, 672 reflexes, 674 restlessness, 679 sensibilities, 673 sexual excess, 674 silent excitement, 679 sleep disturbances, 674 speech, 673 temporary remissions during the initial period, 675 termination of the initial period, 676 prodromal stage, 672 period of AiUy developed disease, 676 second stage of established disease, 683 aphasia, 682 bedsores. 683 bladder and bowels, 683 delusions, 682 dementia, 682 features, 682 movements, 682 speech. 682 trophic disturbances, 68S stages of the Ailly develoi^ed period, 676 third stage of the estsblisned disease^ 698 bedsores. 688 contractures. PoUeucephalitis iDferior acuta, 660 cnronica, 657 superior, 872 acuta, 785 chronica, 786 Poliomyelitis, 620 acute, 620 course of, 622 diagnosis of, 623 from cerebral palsies, 623 from rickets, 628 etioloey. 620 pathoToffy, 622 prognosis. 623 symptomatology, 621 treatment, 624 of acute stage, 624 of chronic stage, 624 electricitv in. 624 massage in, 624 anterior, 620 subacute and chronic, 624 of adults. 624 differentiation from multiple neuri- tis, 624 from progressive muscular atro- phy, 624 treatment of, 625 Polyneuritis, 726 Polymyositis, subacute progressive, 857 Pons, defective development of, 838 Popliteal nerves, surgery of, 1004 Porencephalia, 817, 319 pathology or 319, 510 symptoms of. 322, 511 Porencephalus, 319. 510 Posterior cervical nerves, resection of, 1000 sclerosis, 633 thoracic nerve, paralysis of, 842 tibial nerve, surgery of, 1004 Postero-lateral central arteries, 446 -mesial central arteries, 44<i Post-operculum, 885 •hemlpleglc chorea. 263 -paralytic chorea, 263 Posture. 19 Pott's disease, laminectomy for, 558, 990 Prefh>ntal region. 432 Preoperculum, 385 Pressure sense. 34 methods of testing, 34 Prevost's symptom. 7H7 Primary lateral sclerojis, 629 optic atrophy, 762 etiology of, 762 paretic dementia of, 764 spinal lesions of, 762 Friedreich's ataxia, 763 injuries of the cord. 764 insular sclerosis, 763 lateral sclerosis. 763 locomotor ataxia, 762 centres, 753 position of the eyes. 776 spastic paraplegia. 629 visual ganglia, 753 Procursive epilepsy, 297 Prognosis of paralyses of the spinal nerves, 855 Progressive facial hemiatrophy, 904 general paresis. 667 muscular atrophy, 625 diagnosis, 628 from amyotrophic lateral scler- osis, 628 from diffuse myelitis, 628 from lead-poisoning. 628 from local atrophy, 628 from neuritis, 628 from pachymeningitis cervicaUs, 62S from the progressive muscular dystronhies. 628 from syringomyelia. 628 etiology. C>2ii pathology and pathological anatomy of. 0-27 prognosis of. 628 Progrenlve muscular atrophy, lymptomaiology of, 625 termination of, 627 treatment of, 628 type of Aran-Duchenne, 625 dystrophies, 864 neurotic atrophy, 871 diagnoeu of, 872 etiology of, 871 pathological anatomy of, 878 prognons and treatment of, 873 symptoms and course of, 871 spastic ataxia, 648 Propositionizing centre, 434 Prosopalgia. 814 Pseudo-bulbar palsy, 657 -general paralysis from lead, 197 -muscular hypertrophy, 864 course of, 866 diagnosis of, 870 etiology of. 868 pathological anatomy of, 868 prognosis of. 871 symptoms of, 864 treatment of, 871 -ptosis, 790 Ptosis, 42 as a distant symptom, 789 fh>m disease of the corpora quadrlgemlna, 789 flnom nuclear disease, 789 matinal, 42 with crossed hemiplegia. 1051 Pupil, in paralytic dementia, irregalar, 80t pupillary reactions, 801 loss of accominodation, 801 of reflex dilatation to cutaneous stimulation, 801 reflex iridoplegia, 801 position of, 795 reactions of. 795 shape of. 795 size of. 795 skin reflex of. 797 varying inequality of, 799 Pupillary reactions, method of testing, 795 Pupils, associated action of, 797 QUADRANT anopsia. 771, 773 hemianopsia. 771, 773 Quadrate lobule, 419 Qualitative change. 37 Quantitative change, 87 increase. 37 decrease, 37 RABIES, 215 RachischisU, 340 Radial nerve, surgery of, 1003 " Railway spine," 135 Ram^n y Cajal on the cortex, 398 Raynaud's disease. 880 diagnosis of, 884 duration of, 883 etiology of. 881 history of. 880 pathology of, 884 prognosis of, 885 symptoms of, 881 constitutional, 883 local. 881 treatment of. 885 Reaction of degeneration, 38. 39 diagnostic value of, 39 Rectal crises, (>40 spasm. 27.') Recurrent oculomotor paralysis, 788 Red softening, 4ii9. 554. 557 Re-enforcement, electrical, 29 motor, 28 negative. 29 sensory. 28 Reflex arc of pupil. 796, 797 centripetal portion of, 797 centrifugal portion of. 798 Meynert'8 fibres of, 798 Iridoplegia, SOO verUgo. 918 Relative frequency of paralysis of the ocular muscles. 792 Removal of Gasserian ganglion, 978 Meckel's ganglion, 999 Renal crises, 640 Risus sardonicus, 212 Rest-cure. 79-82 iKxly-weight in, 83 calisthenics in, 84 drugs in. 82. 83 electricity in, 81 isolation in, 80 massage in. 81 passive movements in, 84 8we«1i»>h movements in, 84 Retro-bulbar neuritis. 7G1 acute. 7rti etiology of, 761 chroDic, 7«U etiology of, 761 tolmcco. 762 toxic causes, 762 pathology of. 762 triMitineiit of. 762 -pharyngenl abscess, 991 Rheumatic chorea. 1H4 hemiplegia. l*^i insanity. 18.T meninidtis, 1H4 multiple neuritis, 733 Rheumatic nervous aflfectlons, 183 diagnosis of. 185 etioloey of, 183 patholoffy of, 185 prognosu of, 185 symptoms of, 183 treatment of, 185 neuralgia, 184 neuritis. 184 spinal cord diseases. 184 Right temporal lobe, 432 Romberg symptom, 20, 634 Romberg's spasm, 272 Rongeur's forceps, 959, 960 Rose's operation for removal of the GasMriaa ganglion, 978 tetanus, 212 SACRAL plexus, diseases of, 848, 853 Saltatoric spasm, 261 diagnosis of. 263 prognosis of. 263 symptoms of, 261. 262 Saturday-night palsy, 723, 844 Saturnine pseudo-general paralysis, 197 Scapulo-humeral form of muscular atrophy, 866 Schmaus's experiments in concussion, 142, 148 Sciatic nerve, paralysis of, 858 neuritis, 849 Sciatica. 849 diagnosis of, 851 etiology of. 849 prognosis of, 851 symptoms of, 850 treatment of. 852 constitutional measures, 852 counter-Irritation. 852 drugs. Bleep. 949, 958 aisoraers of, 953 drunkenness, 955 morbid, 955 ^187, 956 Small sciatic nerre, paralysis of, 854 Smell, affections of, 804 Smith's cramp. 279 Softening of brain, 467. See Acute Softening Brain, of spinal cord, 554 Somnambulism, 105. 955 Soal-bllndness, 437, 439 Spoflm, 27 clonic, 27 of larynx, 830 of levator palpebrse, 793 of pharynx, 829 of ocular muscles, 792, 793 of tonffue, 275 tonic. 27 Spasms, ftinctional. 270 Spasmodic convergent strabismus, 792 strabismus, 792 tabes dorsalis, 629 wry-neck, 272 etiology of, 273 morbid anatomy of, 274 prognosis of, 274 symptoms of. 273 treatment of. 274 Spastic diplegia of childhood, 510, 515 pathology of. 511 symptoms of, 615 gait in hysteria, 24 oscillations of the foot in, 24, 25 hemiplegia of cnildhood, 609, 513 age of acquired, 510 atrophy and sclerosis in, 510 cysts in, 510 ftiequency of, 509 from meningitis, 510 from tumor. 510 from vascular disease, 510 morbid anatomv of, 510 porencepbalus in, 510 symptoms of, 513 paralysis, 27 paraplegia. 629 of childhood, 511,517 symptoms of, 517 spinal paralyMs, 629 Specific gravity of brain and spinal cord, 882 Speech, mechanism of, 432 Sphincter iridis, 794 Sphincters, centres for, 651 Special fears, 65 Spina bifida, 523 and hydrocephalus, 531 bladder and rectum in, 531 causes of, 529 clinical history of, 529 diagnosis of, 532 morbid anatomy of, 524 occulta^ 528, 529 paralysis in, 531 pelvic cysts from, 528, 531 prognosis of, 533 sacral forms of, 528 surgery of, 988 treatment of, 533 Spinal abscess, 552. 991 accessory nerve, diseases of, 828, 832 surgery of, 1000 spasm, 272 arthropathies. 592, 6.39 caries. 534, 537, 538. 539, 550 diagnosis of, 553 etiology of. 551 laminectomy for. 553, 990 symptoms of, 557 treatment of, 553 centre for anal sphincter, 651 for vesical sphincter, 651 cord, 612 ana'mia of, 555 anterior columns of, 612, 614 of Spinal cord, anterior columns of, horns of, 614 motor ganglion cells of, 614 artefkcts of, 521 blood-supply of, 620 cell gronp« In anterior horn of, 614 cervical enlargement of, 612 Clarke's column of, 618 columns of, 612 of GoU and Bardach, 612, 614 ofTUrck. 612, 614 crossed pyramidal tracts of, 618, 614 crossing of sensory fibres in, 614 direct cerebellar tract of. 618, 614 pyramidal tract, 614 distribution of motor, sensory, trophic, and reflex centres through the cofd, 615, 616. 617 embrvology of, 528 focal lesions of. 1063 SpiDal spastic pample{?ia in children fh>m in- herited syphilis, 714 j^mA syphilis. 709 cerebral complications in, 711 cord changes, 711 Erb's symptom-eroup, 711 meningo-myelitis, 711 pathology of, 711 precocious spinal syphilis, 711 symptoms or, 709, 710 tumors, 599 medical treatment of, 610 surgical treatment of, 610, 998 Spontaneous fear, 65 Stasophobia, 66 Status epilepticus, 298 Stiilicidium, 42 Strabismus, spasmodic, 792 Structure and functions of the spinal oord, 612 Struma exophthalmica, 920 Subacute progressive polymyositis, 857 complications of, 859 course of, 858 diagnosis of, 862 duration of, 860 etiology of, 857 pathology and morbid anatomy of, 860 prognosis of, 863 symptoms of, 858 treatment of, 863 Subarachnoid puncture, 969 Subaural galvanization. 1009 Subdural hemorrhage. 362. 364, 982 treatment or, 365, 983 Suboperculum. 3S5 Sulci, 384. See Fissures. Sulcus extremis, 390 Sulcus paracentralis, 388 meaialis, 388 Sunday-morning paralysis, 723, 844 Superior gluteal nerve, paralysis of, 849 Supra-orbital nerve, surgery of, 998 Supra-ficapular nerve, i)aralysis of, 842 Sur&ce temperature, 36 Surgery of brain. 957 access to brain, 960 appearance of the brain, 962 closure of the dura, 961 of the opening in the skull, 964 completion of the operation, 964 control of hemorrhage, 962 drainage in. 963 marking the bone, 969 osteoplastic resection, 961 position, 959 recognition of the motor centres by fara- dization. 963 removal of portions of the brain, 963 secondary operations, 965 technique or. 957 disinfection of. 958 determination of the fissures, 958 trephining in, 960 of nerves, 91)5 of iieripheral nerves, 996 of spinal cord, 9S8 Sway, 19 antero-dcxtral, 20 backward. 20 forward, 20 in locomotor ataxia, 20 normal, 20 Sydenham's chorea, 227 Symmetrical gangrene, 880 Sympathetic ptosis, 71K) Symptomatic disorders, i»27 neurasthenia, 55 Syphilis of nervous system, 699 acquired, 700 precocious nervous syphilis, 700 fre<iuency of, 700 time of appearance of symptoms, 700 affections arising fh>m altered nutri- tion. 713 arising fh>m moral shock, 718 Syphilis of nervous system, cerebral, 702 general symptoms, 702 special symptoms, 702 in syphilis of the base, 708 in ^rphilis of the convexity, in syphilitic dementia, 707 degenerative changes in gam- mata, 699 diagnosis, 714 by the " thempentic test," 717 difference between nervous syph- ilis and degenerative <<<ifftaiffw occurring in syphilitic subjects, 700 differentiation of diffbse syphilla of the cortex ttom paretic de- mentia, 696, 715 general subacute character of the ; affection, 715 I history of primary sore, 714 I multiplicity of lesions, 714 I of cerebral syphilis, 715 of spinal syphilis, 716 I of syphilis of nerves, 717 peculiar progress of the symp- toms, 715 etiology, 701 I ftinctional nervous diseaiies in, 712 Inherited, 700, 714 I time of appearance of symptoma, 701 new formations of syphilis, 699 peculiarities of syphilitic lesions, 699 prognosis of, 717 spinal, 709 Erb's form of spinal syphilis, 709 symptoms of, 709 symptoms of, 701 forms of nervous syphilis, 701 multiplicity of, 701 symptom groups, 701 syphilil! of the nerves, 712 of the cranial nerves, 712 of the spinal nerves, 712 angina pectoris, 713 chorea, 7i:J hysteria, 713 syphilitic neurasthenia, 718 tissues primarily aflRscted by syphilis, 699 treatment, 718 duration of, 719 hypodermatic injections, 719 inunction. 717 iodides. 717 mercurials, 717 Syphilitic insanity, 708 neuritis. Syiingomvelia, jiains in, 591 patbolofilcfl [cal anatomy, 593 prognosis of, 597 pupils in, 598 scoliosis in, 590, 592 spastic paralysis in, 593 Btracture of the cavities, 598, 594, 595 symptoms of, 588 treatment of, 597 tremor in, 592 trophic disturbances, 592 System diseases of spinal cord. 614 TABES dorsalis. 633 Tabetic form of paretic dementia, 694 T&che cerebrale, 854, 375 Tachycardia, 68, 69 Tactile sense. 33 table of. 33. 34 Taste, affections of, 885 nerves concerned in, 805 Technique of spinal surgery, 993 Telegrapher's cramp, 279 Temperature sense, 35 methods of testing, 85 Tempero-sphenoidal abscess, 877, 978 Tendo-Acbillis jerk, 28 Tendon reactions, 27 methods of el citing, 29, SO notation of, 32 relations to cord levels, 32 theories of, 28 Terminal neurasthenia, 77 Test letter?, 46 Tetanin, 211 Tetano-tozine, 211 Tetanus. 209 bacillus of, 210 death from, 212 diagnosis of, 213 etiology of. 209 of head, 212 hydrophobicus, 212 immunization, 214 morbid anatomy of, 211 mortality in, 213 neonatorum, 212 puerperal, 213 pulse in, 212 respirations in, 212 surgical measures in, 214 symptoms of. 211 temperature in. 212 treatment of. 214 Tetany, 219 course of, 222 diagnosis of, 222 etiology ot. 219 pathology of, 222 symptoms of. 220 treatment of, 222 Thalamus and sensation, 419 Thermal sense. 35 methods of testing, 35 Thermo-anfesthesia in syringomyelia, 589 Third-nerve diseases of, 773 Thomsen's disease, K73 diagnosis of, 876 etiology of. 873 history of, 873 pathology of. 876 prognosis of, 877 symptoms of, 874 tonic spasm, 874 mechanical excitability of muscles, 874 electrical reactions, 875 treatment of, 877 Thrombosis of brain, 467. sinuses, 365 causes of, 365 chronic otorrhcea and, 366 diagnosis ot. 369 general Ryraptomsof, 366 prognosis of, 370 septic, 366 Thrombosis of brain, special symptoms of, 866 surgical procedure in, 870. 974 treatment of, 870, 974 trephining in, 870, 974 Thyroid extract in cretinism, 920 in myxoodema. 917 gland, trophic affections associated with dis- ease of, 913 Tic convulsif. 816 douloureux, 814 rotatoire, 272 Tinnitus aurium, 808 causes of, 80H diagnosis of. 810 prognosis of, 810 symptoms of, M)9 treatment of, 810 of cause, 810 of symptoms, 810 Tobacco amblyopia, 761 Tonic spasm, 27 Topophobia, 66 Touch squint, 34 Toxic affections. 183 amblyopia, 761 vertigo, 947 Trajectones of the normal walk. 21 Trance, 106 Transverse myelitis, 556. See Myelitis. Trauma in ncrvoutt diseases, 185 Traumatic hysteria, 158 achromatopsia in, 168 aneesthesia in, 158-162 circulatory disturbances in, 168 contractions in, 166 digestive disturbances in, 168 dyschromatopsia in, 163 gait in, 165 geometrical anaesthesia in, 162 nemianaesthesia in, 161 hyperoisthesia in. 165 hyperH!Sthetic zones in, 165 hysterical attack in. 166 hysterical Joint in, 167 hysterogenous zones in, 167 motor symptoms in, 165 peculiarities of, 158 reflexes in, 168 respiratorv disturbances in, 168 sensory stigmata of, 158 spasm in, 166 tremor in, 166 trophic disturbances in, 168 visual disturbances In, 168 intra-cranial hemorrhage, 863, 981 surgical treatment of, 865, 961, 96^ lumbago, 140 attitude in, 147 knee-jerk in, 147 meningeal hemorrhage, 863 neurasthenia, 148 aural symptoms in, 154 circulatory disturbances in, 156 digestive disturbances in, 156 electrical changes in, 155 salt in, 154 Insomnia in, 150 menstruation in. 157 mental symptoms in, 150 motor symptoms in, 154 pupils in, 154 reflexes in. 155 respiratory disturbances in, 156 sensory symptoms, 151 sexual symptoms, 167 symptoms of. 149 tremor in. 155 trophic disturbances in, 155 urinary symptoms, 157 visual disturoanoes in, 151, 152, 158- neurosis, 169 symptoms of, 169. 170 nervous affections, 135 diagnosis of, 176 patholoey of. 141, 142, 148 prognosis of. 79 simulation of, 176, 177 INDEX. 1056 Traumatic Derrous affections, symptoms of, 145 treatment of, 188 sclerosis, 170 diplopia in, 172 etiology of, 171 handwriting in. 173 mental symptoms, 171 motor symptoms in, 178 nystagmus in, 172 pathology of, 170 reflexes in, 173 sensorv symptoms, 172 special senses in. 172 symptoms of, 171 tremor in, 173 spinal sclerosis. 174 symptoms of, 175 diagnosis of, 175 Treatment of paralysis ot the spinal nerves, 855 Tremor, 27 alcoholic, 191 classiflcation of, 282 from lead, 198 Itnctional, 280 diagnr^is of. 284 pathology of. 283 prognosis of, 286 treatment of, 286 hereditary, 283 hysterical, 122 intention, 27 mercurial, 202 neurasthenic, 57 passive, 27 senile, 2K3 toxic. 282 Trephining, 960 Trigeminal cough , 276 neuralgia. 814 diagnosis, 817 etiology of, 814 migratory pains, 816 of inferior maxillary division, 816 of ophthalmic division, 815 of superior maxillary division, 816 ocular neuralgia, 815 prognosis of, 817 radiation of pain in. 816 removal of Gasserlan ganglion for, 987 symptoms. 815 tendfer points in, 815, 816 ticconvulsif,8l6 treatment of, 817 electricity, 819 local measures, 819 medicinal, 817 surgical measures, 820 trophic disturbances, 816 vasomotor disturbances. 816 nerve, diseases of, 811 paralysis, 81 1 crossed paralysis of fifth nerve, 818 diagnosis of. his differential diagnosis from neuralgia, 813 of locality of let>ion, 818 etiology of, 811 symptoms of, 812 treatment of, 813 Trismus, 212 Trochlear nerve, diseases of, 773 Trochlearis palsy, 789 Trophic diseases associated with pathological changes in the thyroid gland, 913 Trophoneuroses, 880 Tubercular multiple neuritis, 733 Tumors of cms, 498 of baml ganglia, 497 of base of brain. 498 of brain. 470. See Brain Tumor. surgical treatment of, 976 of Cauda equina, 653, 654 of cerebellum, 499 ataxia in, 499 gait in, 500 of corpora quadrigemina, 496 of corpus callosum, 493 Tumors of frontal lobe, 487 of gyrus fomicatus, 493 of gyrus marginalis, 493 of hlppocampal gyrus, 493 of island of Reil, 493 of median surface, 493 of medulla, 498 of motor area, 489 of nerves, 739 diagnosis of, 740 etiology of, 740 multiple neuromata, 789 neuroma, 739 false, 739 structure of, 739 neuroma, true. 789 surgical treatment of. 995 symptoms of. 740 treatment of, 740 of occipital region, 491 of operculum. 493 of parietal region, 490 of pons, 496 of sacro-coccygeal region, congenital, 528 of spinal envelopes and of the cord itself^ 509 classlflcation of, bOO course and duration of, 607 diagnosis of, 609 from caries, 610 from chronic myelitis, 610 from hysterical neurasthenia, 609 fh>m neuralgia, 609 from neuritis, 609 fh)m pachymeningitis, 610 from rheumatism, 609 of location, 609 differentiation of tumors of the meninges from tumors of the cord, 608 etiology of. 599 initialstage of, 602 pathology of, 600 relative freqi] iquency of the differ> ent forms of, 601 stages of 602 symptoms of. 601 anaesthesia, 605 ana-sthesia dolorosa, 606 atrophy of muscles, 607 bedsores, 606 Brown-S^quard's paraly8iB,605 cord-pains, 603 electrical excitability oi wasted muscles, 607 girdle pain. 603 headache, 607 hypersesthesia, 605 ot destruction of cord. 602 of irritation of cord. 602 optic neuritis, 607 pain, 603 pain in tubercle, 604 para«thesia, 604 paralysis, 605 priapism, 606 pupils in, 607 radiations of pain, 604 reflexes, 606 root-pains, 603 spasm. 604 vomiting, 607 when in the cauda equina. 600 when in cervical enlarge- ment, 605, 606 when in dorsal cord, 606 when in lumbar enlargement, 606,606 when in lumbar and sacral segments, 609 when in upper cervical ment, 606 treatment of. 610 medicinal. 610 surgical, 610, 998 of Sylvian fissure, 493 temporal region, 493 1056 INDEX. Tumon of thalamus. 497 Typhoid neuritis, 732 symptoms of, 732 ULNAR nerve, paralysis of, 845 surgery of. 1003 Uncus, 898 Unequal pupil. 799 Unilateral reflex iridoplegia, 800 Uraemia, 188 convulsions in, 189 diagnosis of, 189 ett^ogy of, 188 hemiplegia from, 189 patholoffy of, 188 prognosis of. 190 symptoms or, 188 treatment of, 190 Urethral crises, 640 Utterance centre, 434 VARYING inequality of pupils, 799 Veins, cereoral, 448 inferior cerebellar, 449 middle cerebral, 449 of Galen, 449 8upercerebral.449 superior cerebellar, 449 Sylvian, 449 Verbal amnesia, 440 Vertical diplopia. 781 crossed, 781 homonymous, 781 Vertigo. 948 clinical considerations of. 945 diagnosis of, 948 etiology of, 944 from cardiac and vascular disturbances , 947 from disecue of the ear, 945 ftom intra-cranial disease, 948 in M6nidre's disease. 945 of mechanical origin, 948 etiology and symptoms of, 946 prognosis of, 946 theories of. 946 treatment of, 916 of neurotic origin, 948 pathology of, 944 prognosis of, 948 of reflex origin, 948 Vertigo, of toxic origin, 947 treatment of; 949 Vesical crises, 640 Vision of fixation, 46 Visual acuteness, 47 centres for space, light, and color, 422 localization, 420 path. 752 radiaUon, 753 tract. 491 Von Grsefe sign. 42 WAKING numbness. 721 Wasting palsy, 625 Water on the brain, 343 Watson's experiments in concussion, 142 Weir Mitchell's knee-jerk metre, 80 Wernicke's symptom, 44, 802 as a distant symptom, 802 in basal disease, 802 lesions producing it, 802, 808 method of eliciting, 802 penistent, 802 significance of, 802 transient, 802 White matter, weight of, 882 softening, 554, 557 Wilder on the convolutions, 887, 888 Word-blindness. 437, 496 and hemianopsia, 489 concepts, 495 deafhess, 437, 440, 496 pictures, 495 Wounds of the brain, 986 of nerves, 745. 996 Wrist-drop from musculo-spiral paralysis, 728. 848 -jerk, 28. 619 ^ . *-. Writer's cramp, 276 diagnosis of, 278 etiolosy of, 276 patholoey of, 278 prognosis of, 278 symptoms of 277 treatment or, 279 yELLOW soOenlng, 469, 557 y WICKELWINDUNG. 327 ^1 H LANE MEDICAL LIBRARY To avoid fine, this book should be rflumcd on or he fore ihe dale Jast sUmped bflow. 1 \m ^^^^I^^^^I^^^^^^^^^^^^^^^^^^^^^^^^^H. 