Syphilis of the nervous system : a clinical study chiefly in regard to diagnosis and treatment : founded on the cases of Prof. Wm. H. Van Buren, M.D., and those of the author / by E.L. Keyes.

  • Keyes, E. L. (Edward Lawrence), 1843-1924.
Date:
1870
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Licence: Public Domain Mark

Credit: Syphilis of the nervous system : a clinical study chiefly in regard to diagnosis and treatment : founded on the cases of Prof. Wm. H. Van Buren, M.D., and those of the author / by E.L. Keyes. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    subject, gives five well-marked cases of syphilitic mydriasis, mostly, however, with ptosis or paralysis of some other muscle of the eye, but coinciding with no other syphilitic nervous symptom, and without disease of the eye proper in any case. There was, however, some enlargement of the retinal veins in one case. When mydriasis occurs alone, it is believed to be caused by paralysis ot that branch of the third nerve only, which goes to the lenticular ganglion. Victor de Meric states that only the short ciliary nerves coming from the fore-part of the ganglion are affected, when mydriasis occurs without paralysis of any other of the parts supplied by the third nerve. De Meric believes also that the pathology of the affection consists in a thickening of the nerve- sheath. All of De Meric’s cases, except one, recovered entirely in a few months, under the use of mercury and iodide of potas- sium together with calabar-bean, and, in one case, electricity. The same article contains a curious case by Lawson Tait, of myosis, which had come on without any iritis in the course of syphilis, and had existed for a long time. The patient had also a gummy tumor on the clavicle. The myosis disap- peared entirely under ten-grain doses of iodide of potassium. PABALYSIS OF SPECIAL MUSCLES. Case XyiII.-(First seen November, 1850.) , aged thirty-five, Lad chancre with eruptions in 1849, and iritis in 1850. He improved under the bichloride of mercury, to whose action he was excessively sensitive, but he ammmt ^ “ S°°n &S he e^ienced a certain amount of relief, resuming it on running down a little. In the foil of 1850 pofossiumVTe W ^ ‘ day3’ slo'v1^ relieved ^ iodide of potasuiim, he suffered on several occasions from anomalous head-symn- Llling^hiD^strtlf ha<1 beC°me StPid’ inakhlg mistakes in bis business, ing them c^nbuVU T°' Commenc% sentences without findi- ng them, complaining of pain in the head, etc. One side of the foce be- aine paralyzed, but the tongue was straight. Ho was blistered succes- whidh°wM'unavoidable!361^ the e£U’9’ and calomel was given to salivation, weeks Fnm. ,, CH y unproved to complete recovery in four S a lit^e foraet 'i ^proved in general henlthfho was June,^iS when't Z ^ ^ Reared until with hoarsenDed’ C0InPb™ing of obstruction in the larynx for brain-symptoms ? 17*’ SinCG 1850’ he had beeu salivated twice well in every way. ’ ^ f°r the last five ^cars he bad been perfectly