Chapter LXXXIV: Conclusion: While an attempt has been made here to consider vaso-motor (1)

and trophic neuroses separately, it must be admitted that in very many conditions the two are coincident. This follows inevitably from what has been stated regarding the localization of the vaso-motor and trophic centres in the spinal cord, and regarding the course of the vaso-motor and trophic nerves from the spinal centres to the periphery. These two classes of centres and nerves lie side by side in the central and peripheral organs, and it is less surprising that they should be jointly affected than that one should ever be involved alone. In any case of lesion of the peripheral nerves or of the central nervous system they may be expected. In all cases they are to be regarded as symptoms of such lesions rather than as distinct diseases.

{1277}

INDEX TO VOLUME V.

A.

Abdomen, state of, in lead colic, 684
in tubercular meningitis, 726, 727

Abscess of the brain, 791, 792
of the spinal cord, 808

Achromatopsia, hysterical, 247

Aconite and aconitia, use of, in neuralgia, 1224, 1227
hypodermically in exacerbations of cerebral syphilis, 1015

Acoustic sensory disturbances in nervous diseases, 40, 41

Acrodynia, 1254

Acute affections produced by heat, 387
alcoholism, 586
cerebral anæmia, 776
encephalitis, 791
myelitis, spinal, 810
poisoning by alcohol in lethal doses, 596
simple meningitis, 716
spinal meningitis, 749
pachymeningitis, 747

Æsthesodic system of encephalon, localization of lesions in, 81
of spinal cord, localization of lesions in, 69

Affective mental disease, 153

Age, influence on causation of acute spinal meningitis, 750
of catalepsy, 315
of cerebral anæmia, 777
of chorea, 441
of chronic lead-poisoning, 680, 686, 688
of disseminated sclerosis, 883
of embolism and thrombosis of cerebral veins, 951
of epilepsy, 470
of family form of tabes dorsalis, 871
of general paralysis of the insane, 77
of hæmatoma of the dura mater, 707
of hysteria, 216
of hystero-epilepsy, 293
of insanity, 116, 117
of intracranial hemorrhage and apoplexy, 927
of labio-glosso-laryngeal paralysis, 1173
of migraine, 406, 1230
of myxœdema, 1271
of neuralgia, 1217
of paralysis agitans, 433
of progressive unilateral facial atrophy, 694
of syphilitic affections of nerve-centres, 1000
of tabes dorsalis, 856
of the opium habit, 650
of thrombosis of cerebral veins and sinuses, 983
of tubercular meningitis, 725
of tumors of the brain, 1029
spinal cord, 1090
of writers' cramp, 512
relation of, to limitation of the myelitis in infantile paralysis,
1147

Agraphia in hemiplegia, 957

Akinesis in nervous diseases, definition of, 42-44

Alalia (see _Speech, Disorders of_).

Alexia in nervous diseases, 31

Albuminuria in chronic lead-poisoning, 682, 689

Alcohol, influence on causation of acute meningitis, 716
of cerebral hyperæmia, 765
of intracranial hemorrhage and apoplexy, 929, 933
of tabes dorsalis, 854
of writers' cramp, 512
use of, in alcoholism, 642, 644
in cerebral anæmia, 789
in heat-exhaustion, 388
in insomnia, 380, 381
in the chloral habit, 677
in the opium habit, 673, 675
in thermic fever, 397

Alcoholic abuse as a cause of epilepsy, 472
insanity, 175, 202, 630-633

ALCOHOLISM, 573
Classification, 573
Definition, 573
Diagnosis, 637
of acute alcoholism, 637
of chronic alcoholism, 638
of dipsomania, 639
of hereditary alcoholism, 639
Etiology, 575
Alcohol, physiological action of, 580, 586
Alcoholic beverages, varieties and characters of, 578-580
Exciting causes, 578
Heredity, influence on causation, 576
Moral, social, and personal condition, influence on causation,
575, 578
Predisposing causes, 575
History, 574
_Pathological Action of Alcohol_, 586
_Acute Alcoholism_, 586-598
Symptoms, 587
Effects in persons of unsound mind, 594
Effects of different alcohols, 589-591
of acute narcotic poisoning, 597
of acute poisoning in lethal doses, 596
of convulsive form, 593
of corrosive poisoning, 596
of irregular form, 592
of maniacal form, 592
of ordinary form, 587
Pathological anatomy, 595
Varieties, 588
_Chronic Alcoholism_, 598-633
Symptoms, anatomical changes, etc., 599
Alcoholic cachexia in, 616
Atheroma in, 612
Biliary catarrh in, 607
Blood, disorders of, 615
Blood-vessels, disorders of, 612
Cerebral, 616
Delirium, alcoholic, and delirium tremens, 626, 630
Dyspeptic, 601, 602
Genito-urinary disorders, 612-614
Glands, disorders of, 602
Heart, disorders of, 610-612
Insanity, alcoholic, 630-633
Intestinal disorders, 601
Kidneys, disorders of, 613
Larynx, disorders of, 607
Liver, disorders of, 603-607
Locomotive apparatus, disorders of, 614
Lungs, disorders of, 608
Moral sense, perversion of, 624
Motion, disorders of, 620
Mouth and throat, disorders of, 599
Muscles, disorders of, 614
Nervous system, disorders of, 616
Obesity in, 615
Paralysis, alcoholic, 621
Pleuræ, disorders of, 610
Psychical disorders, 624
Respiratory system, disorders of, 607
Sensibility, general, disorders of, 619
Skin, disorders of, 615
Special sense, disorders of, 622
Spinal disorders, 619
Stomach, disorders of, 600
Tremor in, 620
Visceral derangements, 599
Will and intellect in, 625
_Dipsomania_, 635
Symptoms and nature, 636, 637
_Hereditary Alcoholism_, _symptoms and forms_, 634
Prognosis, 639
Synonyms, 573
Treatment, 640
Alcohol, withdrawal of, 642, 644
Ammonia, use of, 641, 642, 645
Baths and douches, use of, 641, 642, 643
Bromides, use of, 642, 645, 646
Cannabis indica, piscidia, and hyoscyamus, use of, 645
Chloral, use of, 641, 645, 646
Coca and cocaine, use of, 643, 646
Diet in, 643, 644
Emetics in, 642
Iron, use of, 643
Hypophosphites and cod-liver oil, use of, 644, 646
of acute form, 641
of chronic form, 642
of delirium tremens, 644
of dipsomania and hereditary forms, 645
Paraldehyde, use of, 641, 642, 645, 646
Prophylaxis, 640, 642
Quinia and opium, use of, 642, 643, 645, 646
Strychnia, use of, 641, 643, 646

Alcoholism, influence on causation of insanity, 119

Allochiria in tabes dorsalis, 832

Alum, use of, in lead colic, 691

Amaurosis in chronic lead-poisoning, 689

Amenorrhœa in the insane, treatment, 136

Ammonia, use of, in acute alcoholism, 641, 642, 643
in thrombosis of cerebral veins and sinuses, 989

Ammonio-sulphate of copper, use, in neuralgia, 1229

Ammonium chloride, use, in neuralgia, 1229

Amnesia in nervous diseases, 28

Amputation, question of, in tetanus, 559

Amyl nitrite, use of, in angina pectoris, 1238
in catalepsy, 338
in cerebral anæmia, 788
in chorea, 456
in epilepsy, 502
in hysteria, 286
in hystero-epilepsy, 311
in migraine, 414, 1232
in vaso-motor neuroses, 1256

Amyotrophic lateral sclerosis, 867

Anæmia as a cause of neuralgia, 1218
of thrombosis of cerebral veins and sinuses, 984
of vertigo, 425
and chlorosis, influence on causation of hysteria, 220
general, as a cause of spinal anæmia, 806
of the brain, 774, 777
of the spine, 805

Anæmic headache, 402

Anæsthesia, hysterical, 246
in acute myelitis, 819
in chronic alcoholism, 620
spinal meningitis, 753
in hemiplegia, 955
in hystero-epilepsy, 298
in injuries of nerves, 1182, 1185, 1186
in neuritis, 1191, 1192
in spinal meningeal hemorrhage, 752
meningitis, 750
syphilis, 1025
in symmetrical gangrene, 1259
in tumors of the brain, 1042
of the spinal cord, 1092
in unilateral spinal paralysis, 1166
of peripheral origin, 1198
Causes, 1199
Diagnosis, 1200
Symptoms, 1199-1201
Treatment, 1201
Varieties of, in nervous diseases, 35, 37

Analgesia, definition of, 35
hysterical, 246

Angina pectoris (see _Neuralgia_).

Angiomata in brain tumors, 1049

Angio-paralysis in vaso-motor neuroses, 1252

Angio-spasm in vaso-motor neuroses, 1262

Anidrosis in progressive unilateral facial atrophy, 696

Ankle-clonus in amyotrophic lateral sclerosis, 868
in diffuse spinal sclerosis, 888
in nervous diseases, 54
in spastic spinal paralysis, 862, 864

Anterior cornua, changes in, in amyotrophic lateral sclerosis, 867
in infantile spinal paralysis, 1133-1144

Antipyrine, use, in thermic fever, 397, 398

Antispasmodics, use, in hysteria, 278

Anus and rectum, neuralgia of, 1240

Aphasia in nervous diseases, 31
in cerebral anæmia, 776
hemorrhage, 941
syphilis, 1008
hemiplegia, characters and varieties of, 956, 960
post-epileptic, 481

Aphonia, hysterical, 239

Apoplexy, 917
of the brain, meningeal, 710

Apoplectic attack, symptoms of, 933-952
constitution, peculiarities of, 930

Apoplectiform attacks in tumors of the brain, 1040
type of acute myelitis, 817

Argyll-Robertson pupil in nervous diseases, 40, 51
in tabes dorsalis, 830

Arsenic, use of, in chorea, 454
in malarial form of cerebral anæmia, 790
in neuralgia, 1224
in paralysis agitans, 438
in tetanus, 559
in tremor, 432
in writers' cramp, 538

Arteries, cerebral, atheroma of, 991
in cerebral meningeal hemorrhage, 711
diseases of, in intracranial hemorrhage and apoplexy, 922

Arterial spasm in spinal anæmia, 806

Arthralgia, the, of chronic lead-poisoning, 684

Arthropathies in hemiplegia of apoplexy and intracranial hemorrhage,
962
in tabes dorsalis, 837

Asafœtida, use, in hysteria, 278, 285

Assimilation, alterations of, in nervous diseases, 59

Asthma, hysterical, 245

Asylums in the treatment of opium and alcohol habit, question of, 671
treatment of insane by removal to, 128, 130-135

Ataxia in tabes dorsalis, 831, 833, 848
in tumors of the brain, 1041
in tumors of the spinal cord, 1094
muscular, in general paralysis of the insane, 189, 193

Ataxic tremor, in nervous diseases, 47

Atheroma, in chronic alcoholism, 612
of the cerebral arteries, 991

Athetosis, definition and symptoms, 457
pathology, prognosis, and treatment, 46

Atmospheric and thermic influences as cause of neuralgia, 1219

Atrophy, 1266
degenerative, in nervous diseases, 54-57
facial, progressive unilateral, 693
in amyotrophic lateral sclerosis, 868
muscular, in chronic lead-poisoning, 687, 688
in hemiplegia from apoplexy, 962
in labio-glosso-laryngeal paralysis, 1172
in nervous diseases, 54
in neuralgia, 1214
in tumors of the brain, 1041
in tumors of the spinal cord, 1054
of anterior gray cornua in infantile spinal paralysis, 1133-1144
of bones and muscles in atrophic infantile paralysis, 1124
of brain, 170, 993, 994

Atropia, use of, in heat-exhaustion, 388
in labio-glosso-laryngeal paralysis, 1175
in tremor of spinal sclerosis, 905
in writers' cramp, 537

Auræ of epilepsy, characters, 475

Aural vertigo, causes and symptoms, 421

Auras in migraine, 1230

Autographic women, 351

Automatism, 228, 331-333

B.

Base of brain, focal lesions of, 91

Baths, use of, in alcoholism, 641, 642, 643
in chorea, 455
in heat-exhaustion, 388
in the opium habit, 672, 673, 676
in thermic fever, 396, 397, 398
in tremor, 432
cold, use of, in spinal sclerosis, 903
hot, use of, in spinal sclerosis, 900, 903
sulphur, use of, in chronic lead-poisoning, 691
value of, in hysteria, 281, 282, 283
warm, use of, in acute myelitis, 823

Bed-sores, 1274, 1275
in tumors of spinal cord, 1096, 1098
malignant, in acute myelitis, 819

Belladonna, use of, in epilepsy, 501
in infantile spinal paralysis, 1155

Bell's palsy, 1202

Biliary catarrh, in chronic alcoholism, 607

Bismuth, use of, in vomiting of the opium habit, 675

Bladder, disorders of, in chronic alcoholism, 614
in tabes dorsalis, 829, 834, 836
in tumors of the brain, 1045
of the spinal cord, 1096

Bleeding, in acute myelitis, 823
simple meningitis, 720
in Bell's palsy, 1207
in cerebral hemorrhage and apoplexy, 976
hyperæmia, 774
in exacerbations of cerebral syphilis, 1015
in hæmatoma of the dura mater, 710
in spinal hyperæmia, 805
in tetanus, 555
in thermic fever, 398

Blindness, hysterical, 248
in cerebral anæmia, 776
word-, in nervous diseases, 31

Blisters, use of, in epilepsy, 502
in hæmatoma of dura mater, 710
in tetanus, 555
in thermic fever, 398, 400
in writers' cramp, 538

Blood, changes in, in chronic alcoholism, 615, 618
in the chloral habit, 662
in thermic fever, 391, 392

Blood-vessels, changes in, in chronic alcoholism, 612

Bluish line upon the gums, significance of, in chronic lead-poisoning,
682

Blushing, in hysteria, 253

Bones, atrophy of, 1267
changes in, in alcoholism, 614
state of, in general paralysis of the insane, 196

Brachial neuralgia, 1234

BRAIN AND SPINAL CORD, ANÆMIA AND HYPERÆMIA OF THE, 763
_Abscess_, 792
Diagnosis, 799
Etiology, 796
Morbid anatomy, 792
Prognosis, 799
Symptomatology, 795
Treatment, 799
Medical, 800
Derivatives, 800
Mercury, 800
Surgical, 800
Emptying contents, 800
_Anæmia_, 774
Diagnosis, 787
Etiology, 776
Morbid anatomy, 781
Appearances of, in cerebral anæmia, 781
Symptomatology, 782
Treatment, 788
Alcoholic stimulants, 789
Amyl nitrite, 788
Cannabis, 789
Cold pack, 789
Massage, 789
Morphine, 788
_Hyperæmia_, 763
Differential diagnosis, 772
Etiology, 765
Symptomatology, 768
Treatment, 773
Baths, 773
Bleeding, 774
Bromides, 773
Cathartics, 774
Cautery, 774
Chloral, 773
Derivation, 774
Diet, 774
Ergot, 773
Hypnotics, 773
Pediluvia, 773
_Inflammation_, 790
Abscess in, 791
Acute encephalitis of Strümpell in, 791
Accompanying endocarditis, 792
Miliary form, 792
of septic origin, 792
Post-paralytic phenomena of, 791
Sequelæ of, 791

BRAIN AND SPINAL CORD, CONCUSSION OF THE, 908
Definition and morbid anatomy, 908
Diagnosis, 909
Symptoms, 908
Mental state, 908
Pulse and temperature in, 909
Pupils, state of, 909
Treatment, bromide of potassium, heat and cold, use, 911, 912
of reaction, 911
Stimulants, use of, 911

BRAIN, ATROPHY AND HYPERTROPHY OF, 993
_Atrophy_ during childhood, 993
Causes, symptoms, and treatment, 994
of the fully-developed, 994
Causes, morbid anatomy, and symptoms, 995
Treatment, 996
_Hypertrophy_, 996
Course, diagnosis, prognosis, symptoms, and treatment, 998
Etiology and morbid anatomy, 997

Brain and its envelopes, tumors of, 1028
and membranes, changes in, in acute simple meningitis, 719
in alcoholism, 617
in cerebral meningeal hemorrhage, 713, 714
in external pachymeningitis, 705
in general paralysis of the insane, 196
in hæmatoma of the dura mater, 708
in tubercular meningitis, 730-732
and spinal cord, diseases of membranes of, 703
lesions of, in insanity, 121
microcephalic, size of, 139
softening of, 918, 989
in children, 990
state of, in chronic hydrocephalus, 944
syphilis of, 1003

Brain-cortex, syphilis of (see _Syphilitic Affections of
Nerve-centres_).

Brain, gross appearances of, in brain tumors, 1050

Brain-tire, treatment of, 358

Breathing, hysterical, 245

Bright's disease as a cause of intracranial hemorrhage and apoplexy,
930

Bromate of potassium, use of, in epilepsy, 501

Bromide of nickel, use of, in epilepsy, 500

Bromide of potassium, use of, in acute simple meningitis, 721
in acute spinal meningitis, 752
in chronic cerebral meningitis, 722
in concussion of spine, 911
in hæmatoma of the dura mater, 710
in hystero-epilepsy, 313
in insanity, 136
in melancholia, 160
in migraine, 1232
in tetanus, 558
in tumors of the brain, 1068

Bromides, use of, in alcoholism, 642, 645, 646
in cerebral anæmia, 789
hyperæmia, 773
in chorea, 455
in epilepsy, 499, 500
in insomnia, 380, 381, 382
in migraine, 414, 415
in spinal sclerosis, 905, 906
in the opium habit, 674, 676
in tubercular meningitis, 736
in vertigo, 427

Bronchi, disorders and lesions of, in chronic alcoholism, 608

C.

Cachexia, alcoholic, characters, 616

Caffeine, use of, in migraine, 1232
in neuralgia, 1229

Caisson disease, a form of spinal hyperæmia, 804

Calabar bean, use of, in tetanus, 557
in tetanus neonatorum, 565

Cancer of the brain, 1049

Cannabis indica, habitual addiction to, 667
use of, in alcoholism, 645
in brain tumors, 1068
in cerebral anæmia, 788, 789
in migraine, 413, 415, 1232
in the opium habit, 676
in tetanus, 557

Capillary cerebral embolism, 979

Capsicum, use of, in alcoholism, 642

Carbuncles, as a cause of thrombosis of cerebral veins and sinuses,
985

Caries of teeth, as a cause of neuralgia, 1229, 1233

Caries of temporal bone, as a cause of tubercular meningitis, 725

Carotids, ligation of, as a cause of cerebral anæmia, 777

CATALEPSY, 314
Definition and synonyms, 314
Diagnosis, 334
from apoplexy and intoxication, 336
from epilepsy, 335
from simulation, 337
from tetanus, 336
Etiology, 315
Age, influence on causation, 315
Imitation, influence on causation, 319
Reflex irritation, 318
Sex and puberty, 318
History, 315
Pathology and duration, 334
Prognosis, 337
Symptoms, 320
of cataleptoid phenomena in the insane, 327
of hypnotic catalepsy, 322
of unilateral catalepsy, 324
Onset of seizures, mode of, 320
Pulse, respiration, and temperature in, 321
Reflex irritability, changes in, 321
Sensation, disturbances of, 321
Wax-like flexibility in, 321, 337
Treatment, 338
Cold douche, use of, 338
Electricity, use of, 338
Nitrite of amyl and nitro-glycerin, use of, 338
Music, use of, 338
Purgatives and tonics, use of, 338

Cataleptoid phenomena in the insane, 327

Cathartics in cerebral abscess, 800
in cerebral hemorrhage, 976
in cerebral hyperæmia, 774

Cauterization in vertigo, 427

Cautery, use of, in cerebral hyperæmia, 774
in spinal sclerosis, 905

Cephalic soufflé, diagnostic significance of, 779

Cerebellum, focal lesions of, 90
tumors of, symptoms, 1062

Cerebral anæmia, 774, 786
from emotional disturbance, 780
from ligature of carotid, 776
Arteries, occlusion of, 946
Congestion, active, insomnia from, 382
Hyperæmia in the insane, treatment, 136
Meningeal hemorrhage, 710
Meningitis, chronic, 721
Neurasthenia, 355
Paralysis, 917
Pia mater, congestion of, 715
inflammation of, 716
Symptoms of thermic fever, 390
Syphilitic insanity, 202
Tissue, alterations of, in epilepsy, 491
Veins and sinuses, thrombosis of, 982
occlusion of, 918

Cerebro-spinal sclerosis, multiple, 873

Cervical sympathetic, diseases of, 1263
Etiology and pathology, 1263, 1264
Course and diagnosis, 1265
Symptoms, 1264
Eye and pupil, changes in, 1264
Heart, disorders in, 1265
of irritation of, 1264
of destructive disease of, 1264
Secretions, changes in, 1265
Treatment, 1265

Cervico-brachial neuralgia, 1234
occipital neuralgia, 1234

Charcot's joint disease in tabes dorsalis, 830, 837

Cheyne-Stokes phenomenon, 777
respiration in tubercular meningitis, 728, 729

Child-bearing and cerebral anæmia, 778

Childhood, headache in, 405
Insanity of, 171

Children, cerebral hemorrhage in, 928
Hysteria in, treatment, 275
Softening of brain in, 990

Chloral, abuse of (see _Opium Habit_).
use of, in acute simple meningitis, 721
in alcoholism, 641, 645, 646
in cerebral anæmia, 789
hyperæmia, 773
in chorea, 455
in epilepsy, 500
in hysteria, 276
in insanity, 136
in insomnia, 380-382
in migraine, 415
in tetanus, 558
in the opium habit, 673, 674, 676
in tubercular meningitis, 736
in vaso-motor neuroses, 1256

Chloroform, habitual addiction to, 667
use of, in hysteria, 286
in neuralgia, 1229
in tetanus, 551

Choked disc, in tumors of brain, 1035

Cholesteotomata, in brain tumors, 1049

CHOREA, 439
Definition, 440
Diagnosis and prognosis, 453
Duration, 449
Etiology, 440
Age and sex, influence on causation, 441
Climate, season, and race, 444
Heredity, influence on causation, 440
Rheumatism, influence on causation, 442
Reflex irritation and eczema, 444
Scarlet fever and pregnancy, 443
Social condition and over-study, 441
History and synonyms, 439
Morbid anatomy and pathology, 450
Symptoms, 445
during sleep, 445, 446
Heart, state of, in, 448
Mental condition in, 445
Movements, characters, and description of, 445, 446
Paralysis and post-paralytic stage of, 447
Pulse and temperature in, 449
Sensibility and reflexes in, 448
Speech in, 445, 448
Treatment, 454
Arsenic, use of, 455
Cimicifuga and conium, use of, 455
Electricity, use of, 455
Iron and zinc salts, use of, 455
Nitrite of amyl, bromides, etc., use, 455
Strychnia, use of, 455

Chorea, hysterical, 242
in tumors of the brain, 1039
post-paralytic, 447, 960

Chronic alcoholism, 598 _et seq._
cerebral anæmia of adults, 782
meningitis, 721
delirium tremens, 630
hydrocephalus, 740
lead-poisoning, 678
myelitis, 886
spinal meningitis, 752
pachymeningitis, 748

Cicatrices, myelitic, 815

Cimicifuga, use of, in chorea, 455

Circular insanity, 151

Circulation, obstructed, as a cause of spinal hyperæmia, 802

Classification of alcoholism, 573
of chronic lead-poisoning, 678
of mental diseases, 105-109

Clavus hystericus, 252

Cleanliness, importance in cerebral hemorrhage and apoplexy, 977

Climate, change of, value in neurasthenia, 358
in neuralgia, 1223
in spinal sclerosis, 903
influence on causation of chronic lead-poisoning, 680
of epilepsy, 474
of hystero-epilepsy, 291
of thermic fever, 389

Climate and season, influence on causation of chorea, 444
of hysteria, 218

Climacteric insanity, 173
period, cerebral hyperæmia in, 771

Climatic and atmospheric conditions, influence on causation of
tetanus, 544

Clonic spasms, in nervous diseases, 45

Clonus, significance in nervous diseases, 54

Clot, of intracranial hemorrhage, changes in, 920

Club-foot, in family form of tabes dorsalis, 871
in infantile spinal paralysis, 1127

Coca and cocaine, habitual addiction to, 667
use of, in alcoholism, 643, 646
in the opium habit, 676

Cod-liver oil, use of, in chronic alcoholism, 644, 646
hydrocephalus, 775
in general paralysis of the insane, 201
in neuralgia, 1224
in tubercular meningitis, 735

Cold, influence on causation of Bell's palsy, 1203
of congestion of spinal membranes, 747
of neuralgia, 1219
of neuritis, 1190
of tetanus, 544
use of, in concussion of the brain, 911
in external pachymeningitis, 706
in thermic fever, 396-398

Cold and wet, as a cause of disseminated sclerosis, 884
of tabes dorsalis, 855

Cold pack, use of, in cerebral anæmia, 789

Colic, of chronic lead-poisoning, 683

Coma, 382, 785
alcoholic, characters of, 589, 598
description of, in nervous diseases, 26-28
in abscess of the brain, 796
in acute spinal meningitis, 750
in cerebral anæmia, 785
in chronic lead-poisoning, 688
in tubercular meningitis, 727

Complicating insanity, 174

Complications of hysteria, 258
of progressive muscular atrophy with atrophic spinal paralysis, 1149
unilateral facial atrophy, 699
of tumors of the brain, 1045
spinal cord, 1106

Compression of nerve-trunks, in hystero-epilepsy, 310

Concussion of the brain, 908
spinal cord, 912

Condition of brain in sleep, 775

Confusional insanity, primary, 167

Congestion of cerebral dura mater, 704
of pia mater, 715
of spinal meningitis, 746

Conium, use of, in chorea, 455
in paralysis agitans, 438
in tetanus, 557

Conjunctivitis in the chloral habit, 664, 665

Consciousness, double, in nervous diseases, 28
loss of, in cerebral hemorrhage and apoplexy, 933
in nervous diseases, 26
in occlusion of cerebral vessels, 952
perverted, in catalepsy, 320

Constitutional diseases, influence on causation of neuralgia, 1217
affective mental disease, 142

Constipation in chronic hydrocephalus, 743
in chronic lead colic, 683
in tubercular meningitis, 725, 729, 736
in tumors of the brain, 1045

Constriction about waist, sense of, in acute spinal pachymeningitis,
747
in disseminated sclerosis, 874
in spinal meningeal hemorrhage, 752
in spinal syphilis, 1025
in tabes dorsalis, 829
in tumors of spinal cord, 1093

Contact-sense in tabes dorsalis, 833

Contractures, hysterical, 244
in disseminated sclerosis, 888
in hemiplegia, 962
in hystero-epilepsy, 297
in infantile spinal paralysis, 1127
in inflammation of the brain, 791
in secondary sclerosis, 987
in tumors of the brain, 1039

Convulsions in abscess of the brain, 796
in atrophy of the brain, 994
in chronic lead-poisoning, 688
in hysteria, 236
in infantile spinal paralysis, 1116
in spina bifida, 759
in thrombosis of cerebral veins and sinuses, 986
in tubercular meningitis, 728
in tumors of the brain, 1039

Convulsive disorders, local, 461
form of acute alcoholism, 593

Co-ordination, disturbance of, in tabes dorsalis, 830-833
in family form of tabes dorsalis, 871

Copodyscinesia (see _Writers and Artisans, Neural Disorders of_).

Cord, spinal, lesions of, in alcoholism, 622
in tetanus, 549

Corrosive poisoning from alcohol, 596

Counter-irritation, use of, in acute simple meningitis, 721
spinal meningitis, 752
in cerebral meningeal hemorrhage, 715
in chronic cerebral meningitis, 722
spinal meningitis, 753
in concussion of the spine, 916
in external pachymeningitis, 706
in infantile spinal paralysis, 1155
in hæmatoma of dura mater, 710
in neuralgia, 1227
in neuritis, 1294
in sciatica, 1262
in symmetrical gangrene, 1236
in tubercular meningitis, 736

Coup de soleil, 388

Course of diseases of cervical sympathetic, 1265
of ecstasy, 343
of family form of tabes dorsalis, 871
of general paralysis of the insane, 178
of hysteria, 258
of hystero-epilepsy, 307
of infantile spinal paralysis, 1148
of insanity, 120
of myxœdema, 1272
of simple acute meningitis, 718
of symmetrical gangrene, 1201
of the opium habit, 657
of vaso-motor neuroses, 1254
of writers' cramp, 521

Cramp, writers', 504

Cranial conformation, vices of, as a cause of epilepsy, 470

Cranio-cerebral topography, in localization of nervous lesions, 93

Cranium, changes in, in chronic alcoholism, 617
in chronic hydrocephalus, 742, 743

Cretinism, 138

Crises clitoridienne, 836

Crises in tabes dorsalis, 835, 836

Croton chloral, use, in epileptiform facial neuralgia, 1234
in migraine, 415

Croton oil, use of, in cerebral hemorrhage and apoplexy, 976

Cry of tubercular meningitis, 726, 727

Curare, use of, in tetanus, 556
in tremors of spinal sclerosis, 905

Cutaneous sensibility, disorders of, in epilepsy, 476, 480

Cyanotic stage of symmetrical gangrene, 1258

D.

Dancing mania, the, 222, 223, 439

Deafness, hysterical, 249
word-, in nervous diseases, 31

Death, apparent, 385
mode of, in delirium tremens, 630

Defecation, hysterical disorders of, 240

Definition of alcoholism, 573
of amyotrophic lateral spinal sclerosis, 867
of apoplexy, 917, 918
of athetosis, 459
of atrophy of the brain, 993
of catalepsy, 314
of chorea, 440
of chronic hydrocephalus, 740
lead-poisoning, 678
of eclampsia, 464
of ecstasy, 339
of epilepsy, 467
of hæmatoma of the dura mater, 707
of hysteria, 205
of hystero-epilepsy, 288
of infantile spinal paralysis, 1113
of insanity, 99
of labio-glosso-laryngeal paralysis, 1169
of neural disorders of writers and artisans, 504
of neuralgia, 1211
of progressive unilateral facial atrophy, 693
of spina bifida, 757
of stigmatization, 348
of symmetrical gangrene, 1257
of tetanus, 544
of trance, 344
of tremor, 429
of tubercular meningitis, 723
of tumors of the brain, 1028
spinal cord, 1090
of unilateral spinal paralysis, 1166
of vaso-motor and trophic neuroses, 1241
of vertigo, 416

Deformities, in tabes dorsalis, 871
in infantile spinal paralysis, 1127-1131

Degenerative changes in atrophy, 1266-1277

Deglutition, difficult, in amyotrophic lateral sclerosis, 868
in Bell's palsy, 1204
in cerebral hemorrhage and apoplexy, 935
in labio-glosso-laryngeal paralysis, 1170

Delirium, acute, 163
chronic, in alcoholic insanity, 632
in acute simple meningitis, 718
in alcoholism, 626
in chronic lead-poisoning, 688, 689
in nervous disease, 124
of cerebral anæmia, 785
tremens, 627

Delusional insanity, secondary, 203
primary, 167

Delusions, character of, in insanity, 168
in general paralysis of the insane, 187, 188, 190, 192
in katatonia, 166
varieties of, in nervous diseases, 22
with melancholia, 156, 157

Dementia, in alcoholism, 633
of general paralysis of the insane, 187
paretic, in inflammation of the brain, 791
in spastic spinal paralysis, 863, 865, 866
and simple, in disseminated sclerosis, 877, 878
primary, 164
secondary, 165
senile, 174
terminal, 203

Depression in cerebral anæmia, 782, 783
in mental disease, 20

Dercum and Parker on artificial induction of convulsive seizures,
213, 529

Development of language, 568

Diabetes, influence on causation of neuralgia, 1218

Diagnosis of abscess of the brain, 799
of acute mania, 162
of acute myelitis, 820
of acute narcotic poisoning from alcohol, 598
of acute simple meningitis, 729
spinal meningitis, 751
pachymeningitis, 748
of apoplexy, 963
of anæsthesia of peripheral origin, 1200
of athetosis, 459
of Bell's palsy, 1205
of capillary embolism, 981
of catalepsy, 334
of cerebral anæmia, 787
embolism, 981
hemorrhage, 963
hyperæmia, 771
meningeal hemorrhage, 714
syphilis, 1112
of chorea, 453
of chronic cerebral meningitis, 722
hydrocephalus, 744
of chronic lead-poisoning, 690
of combined form of sclerosis, 870
of concussion of the brain, 909
spine, 916
of congestion of spinal membranes, 747
of diffuse sclerosis, 890
of diseases of cervical sympathetic, 1265
of disseminated sclerosis, 885
of ecstasy, 343
of epilepsy, 493-496
of external pachymeningitis, 706
of family form of tabes dorsalis, 872
of functional nervous diseases, 63
of gastralgia, 1239
of general paralysis of the insane, 197
of hæmatoma of dura mater, 709
of headache, 405
of hydrencephaloid, 785
of hypertrophy of the brain, 998
of hysteria, 260
of hystero-epilepsy, 307
of infantile spinal paralysis, 1152
of insanity, 123
of labio-glosso-laryngeal paralysis, 1174
of migraine, 410
of multiple neuritis, 1197
of myxœdema, 1273
of nerve injuries, 1187
of neuralgia, 1221
of neuritis, 1194
of neuromata, 1210
of organic nervous diseases, 61-63
of paralysis agitans, 438
of progressive unilateral facial atrophy, 700
of simulation of sleep, 775
of spastic spinal paralysis, 866
of special paralyses in infantile spinal paralysis, 1123
of spina bifida, 755
of spinal meningeal hemorrhage, 760
of symmetrical gangrene, 1261
of syphilis of brain-cortex, 1020
of tabes dorsalis, 857
of the chloral habit, 665
of the opium habit, 659
of thermic fever, 396
of thrombosis of cerebral veins and sinuses, 987
of tubercular meningitis, 732
of tumors of brain, 1051, 1056
of spinal cord, 1098, 1100
of vaso-motor neuroses, 1252
of vertigo, 417
of writers' cramp, 521
principles of, in nervous diseases, 59-61

Diaphragm, hysterical paralysis of, 239

Diarrhœal affections of children as a cause of cerebral anæmia, 779

Diet in acute simple meningitis, 721
in acute spinal meningitis, 752
in alcoholism, 643, 644
in apoplexy, 975
in cerebral anæmia, 790
in cerebral meningeal hemorrhage, 715
in chronic hydrocephalus, 745
in epilepsy, 503
in external pachymeningitis, 706
in gastralgia, 1239
in hæmatoma of the dura mater, 710
in hyperæmia of the brain, 774
in the opium habit, 673, 674
in tubercular meningitis, 735, 736
in tumors of the brain, 1068
influence on causation of chronic lead-poisoning, 680

Diffuse myelitis, 886
sclerosis, 886

Digestive disorders as a cause of headache, 404, 405
in chronic hydrocephalus, 743
in neurasthenia, 356
in tubercular meningitis, 725, 726, 728
of chronic alcoholism, 599-602, 607
of the chloral habit, 661, 665
of the opium habit, 653, 657-659
symptoms of hystero-epilepsy, 297
of migraine, 409
of myxœdema, 1272
of tetanus, 551
of thermic fever, 390

Digitalis, use of, in alcoholism, 642, 645
in epilepsy, 500
in thermic fever, 397

Digiti mortui, 1252, 1254

Diplopia in disseminated sclerosis, 875, 876
in nervous diseases, 40
in tabes dorsalis, 829
in tumors of the brain, 1042

Dipsomania, 147, 636, 637

Disease of one lateral half of the spinal cord, 1165
Thomsen's, 461

Diseases, mental, 99
of nervous system, general semeiology of, 19
of peripheral nerves, 1176
of the membranes of the brain and spinal cord, 703

Dislocation in infantile paralysis, 1130

Disorders of sleep, 364
of speech, 568

Dizziness in general paralysis of the insane, 187, 195

Double consciousness in nervous diseases, 28
vision in nervous diseases, 40

Doubting insanity, 170

Douche, cold, in catalepsy, 338
in ecstasy, 338
in spinal sclerosis, 903

Dreams (see _Sleep, and its Disorders_).

Dropsy of the head (see _Hydrocephalus, Chronic_), 740
sleeping, 383

Dura mater, cerebral congestion, 704
cerebral hæmatoma of (hemorrhagic pachymeningitis), 707
Definition, etiology, and symptoms, 707
Diagnosis, 709
Duration and pathology, 708
Prognosis, 709
Treatment, 710
cerebral inflammation of (pachymeningitis), 703
external pachymeningitis, 704
Diagnosis and prognosis, 706
Etiology and symptoms, 704
Pathological anatomy, 705
Treatment, 706
internal pachymeningitis, 706
Treatment, 707
spinal, acute inflammation of, 747

Duration of acute mania, 162
of acute myelitis, 821
of acute spinal meningitis, 718
of amyotrophic spinal sclerosis, 868
of catalepsy, 334
of chorea, 449
of chronic hydrocephalus, 743
of delirium tremens, 629
of ecstasy, 343
of family form of tabes dorsalis, 871
of hæmatoma of the dura mater, 708
of hysteria, 258
of hystero-epilepsy, 307
of progressive unilateral facial atrophy, 699
of spina bifida, 759
of symmetrical gangrene, 1261
of tabes dorsalis, 839, 840
of tubercular meningitis, 729
of tumors of the brain, 1045
of the spinal cord, 1106
of vertigo, 418
of writers' cramp, 521

Dyskinesis, definition, in nervous diseases, 47

Dyslalia, 569, 572

Dyspepsia, headache from, 405

Dyspeptic symptoms of chronic alcoholism, 601, 607

Dysphagia, hysterical, 239, 245

E.

Ear affections, hysterical, 249
influence on causation of acute pachymeningitis, 716
of external pachymeningitis, 704
disorders of, as a cause of abscess of the brain, 474
of epilepsy, 474
of vertigo, 421
in progressive unilateral facial atrophy, 698
middle, disease of, as a cause of thrombosis of cerebral veins and
sinuses, 985

Eclampsia, 464
Definition, etiology, and symptoms, 464

ECSTASY, 339
Definition, 339
Course, diagnosis, and duration, 343
Etiology, 341
History and synonyms, 339
Prognosis, 343
Symptoms, 342
Treatment, 344

Eczema as a cause of chorea, 444

Education, improper, as a cause of hysteria, 218, 220
of speech in aphasia of hemiplegia, 979
relation of, to hysteria, 274

Electrical reactions in amyotrophic lateral sclerosis, 868
in Bell's palsy, 1205, 1206
in diffuse sclerosis, 890
in infantile paralysis, 1125
in spastic spinal paralysis, 864
of injured and divided nerves, 1184, 1188

Electricity, use of, in Bell's palsy, 1207
in catalepsy, 338
in chronic lead-poisoning, 691
in hysteria, 281, 286
in hystero-epilepsy, 311-313
in infantile spinal paralysis, 1156
in labio-glosso-laryngeal paralysis, 1175
in migraine, 415, 1232
in multiple neuritis, 1198
in myelitis, acute, 824
in myxœdema, 1273
in nerve injuries, 1189
in neuralgia, 1225
in neurasthenia, 360
in neuritis, 1194
in painless facial spasm, 462
in paralysis agitans, 438
of intracranial hemorrhage, 978
in progressive unilateral facial atrophy, 702
in sciatica, 1238
in spinal sclerosis, 901, 905
in symmetrical gangrene, 1262
in torticollis, 464
in vaso-motor neuroses, 1256
in writers' cramp, 534

Emboli, source of, in occlusion of cerebral arteries, 947-950

Embolic origin of abscess of the brain, 799
theory of origin of chorea, 452

Embolism, capillary, 979
and thrombosis of cerebral arteries, 946
of spinal cord, 808, 810

Emetics, use of, in alcoholism, 642
in hysteria, 285

Emotional attitudes in hystero-epilepsy, 301
causes of hystero-epilepsy, 293
state, in general paralysis of the insane, 179
states, abnormal, in nervous diseases, 19
strain, influence on causation of insanity, 118

Emprosthotonos in tetanus, 551

Encephalitis, acute, of Strümpell, 791

Encephalic mass, localization of lesions in, 81

Endocarditis, ulcerative, as a cause of abscess of the brain, 799
as a cause of capillary embolism, 980

Encephalopathy, the, of chronic lead-poisoning, 688

Enchondromatous brain tumors, 1070

Enophthalmos in progressive unilateral facial atrophy, 698

Entero-colitis of infancy, relation to thermic fever, 390

EPILEPSY, 467
Definition and history, 467
Diagnosis, 493
from syncope, 495
from vertigo, 495
from uræmic convulsions, 495
in children, 494
in malingerers, 496
Etiology, 468
Age and sex, influence on causation, 470
Exanthemata, relation of, to, 473
Excentric irritating causes, 471
Exciting causes, 471
Gastric causes, 474
Peripheral origin, 474
Preputial irritation as a cause, 473
Reflex causes, 472
Sexual causes, 473, 474
Syphilis, influence on causation, 470
Toxic causes, 472
Traumatic causes, 470, 471
Morbid anatomy and pathology, 488
Alterations of cerebral tissue in, 493
Hughlings-Jackson's cortical theory, 489, 490
Medullary theory of origin, 489
Theory of epileptic zones, 489
Prodromata, 475
Aural, characters of, 475, 476
Cerebral disturbances, 475
Cutaneous disorders, 476
Hearing and vision, disorders of, 475, 476
Motor disturbances, 476
Saliva, increase of, 476
Prognosis, 496
Age, influence on recovery, 498
Menstruation, marriage, and pregnancy, influence on recovery,
500, 501
Symptoms, 477
Frequency of attacks, 482
of immediate and remote effects of paroxysms, 481
Physical, 481
Post-epileptic aphasia, 481
Psychical, 481
Tendency to mania in, 482
of irregular forms, 483
of light attacks, or petit mal, 477
of major attacks, 477-479
Convulsions, characters, 477-479
Cutaneous state, in, 480
Duration of attacks, 478
Eyes, state of, in, 480
Pulse and temperature in, 480
Tendon reflexes in, 481
Tongue-biting, significance, 481
Urine, state of, 480
of psychical or masked forms, 483-486
of sensory epilepsy, 486
Hallucinations in, 487
Synonyms, 467
Treatment, 499
Abortants, use, 502
Amyl nitrite, use, 502
Belladonna and ergot, use, 501
Blisters, use, 502
Bromide, use of, 499-501
Bromate of potassium, use, 501
Cod-liver oil and hypophosphites, use, 501
Diet in, 503
Digitalis, use, 500
Galvanism, use, 502
Iodide of potassium, use, 502
Nitro-glycerin, use, 500, 502
of status epilepticus, 502
Strychnia, use, 500
Surgical measures, 502

Epilepsy, alcoholic, 624
influence on causation of migraine, 407

Epileptic attacks in cerebral syphilis, 1010
following hemiplegia, 955

Epileptic insanity, 149

Epileptiform facial neuralgia, 1233

Epistaxis in tumors of the brain, 1044

Ergot, use of, in acute myelitis, 822
in acute spinal meningitis, 721
in cerebral hyperæmia, 773
in epilepsy, 501
in migraine, 413, 1232
in infantile spinal paralysis, 1155
in insanity, 136
in spinal hyperæmia, 805
meningeal hemorrhage, 756

Ergotin, use of, in spinal sclerosis, 901

Erotomania, 148

Eruptions in nervous diseases, 57
simulated, in hysteria, 234

Erysipelas as a cause of cerebral hyperæmia, 765
of thrombosis of cerebral veins and sinuses, 985

Erythema, local, in symmetrical gangrene, 1259

Erythromelalgia, 1253

Essential vertigo, 426

Ether, habitual addiction to, 667
use of, in chorea, 455
in neuralgia, 1229
in tetanus, 556

Etiology of abscess of the brain, 796
of acute simple meningitis, 716
of acute spinal meningitis, 749
of alcoholism, 575
of atrophy of the brain, 994, 995
of Bell's palsy, 1203
of capillary embolism, 979
of catalepsy, 315
of cerebral anæmia, 776
of cerebral hyperæmia, 765
of cerebral meningeal hemorrhage, 711
of chorea, 440
of chronic hydrocephalus, 741
lead-poisoning, 679
of combined forms of sclerosis, 870
of congestion of the cerebral pia mater, 716
of spinal membranes, 746
of diseases of cervical sympathetic, 1263
of disseminated sclerosis, 883
of eclampsia, 464
of ecstasy, 341
of epilepsy, 468
of external pachymeningitis, 704
of family form of tabes dorsalis, 870
of general paralysis of the insane, 177
of hæmatoma of dura mater, 707
of hypertrophy of the brain, 997
of hysteria, 214
of hystero-epilepsy, 291
of infantile spinal paralysis, 1151
of insanity, 113
of intracranial hemorrhage and apoplexy, 927
of labio-glosso-laryngeal paralysis, 1173
of neural disorders of writers and artisans, 505
of migraine, 1231
of multiple neuritis, 1197
of myxœdema, 1271
of neuralgia, 1216
of neurasthenia, 354
of neuritis, 1190
of neuromata, 1209
of occlusion of cerebral arteries, 950
of progressive unilateral facial atrophy, 693
of sciatica, 1236
of spastic spinal paralysis, 864
of spina bifida, 757
of spinal hemorrhage, 809
of spinal hyperæmia, 802
of spinal meningeal hemorrhage, 754
of symmetrical gangrene, 1261
of tabes dorsalis, 851
of tetanus, 545
of tetanus neonatorum, 563
of the chloral habit, 661
of the opium habit, 649
of thermic fever, 388
of thrombosis of cerebral veins and sinuses, 982, 983
of torticollis, 463
of tubercular meningitis, 724
of tumors of the brain, 1028
of the spine, 1090
of vertigo, 418
of writers' cramp, 506
general, of syphilitic affections of nerve-centres, 999

Exaltation, in nervous diseases, 20

Exanthemata, as a cause of epilepsy, 473
of vertigo, 419

Excesses, influence on causation of general paralysis of the insane,
177
of insanity, 116, 119

Excision of the tumor in spina bifida, 762

Exciting causes of insanity, 118, 119

Exercise, necessity of, in hysteria, 275

Exhausting diseases as a cause of cerebral anæmia, 779
of tremor, 429

Exhaustion, insomnia from, 380

Exposure to cold and wet as a cause of tabes dorsalis, 855

Eye affections, hysterical, 247
in progressive unilateral facial atrophy, 698

Eye-strain, headache from, 304

Eyes, state of, in cerebral hemorrhage and apoplexy, 939
in chronic hydrocephalus, 743
in epilepsy, 479, 480
in tubercular meningitis, 725-727, 729
Disorders of, as a cause of vertigo, 424
in cerebral anæmia, 783
hyperæmia, 770, 772
in diseases of cervical sympathetic, 1264
in disseminated sclerosis, 875, 877, 878
in tabes dorsalis, 830-833
in the chloral habit, 664, 665
in the opium habit, 657
in tumors of the brain, 1035, 1042-1044

F.

Facial atrophy, unilateral progressive, 693
expression in Bell's palsy, 1203
in cerebral hemorrhage and apoplexy, 939
in chorea, 445
in paralysis agitans, 434
nerve, paralysis of, in atrophic spinal paralysis, 1120
nerve, peripheral paralysis of (Bell's palsy), 1202
Diagnosis, 1205
Etiology, 1202, 1203
Symptoms, 1203
Facial expression, 1203, 1204
Muscles and organs affected, 1203, 1204
Reactions, electrical, in, 1205, 1206
Special senses and sensibility in, 1204, 1205
Treatment, 1206
Bleeding and counter-irritation in, 1207
Electricity, 1207
Iodide of potassium, 1207
Mechanical appliances and massages, 1207, 1208
neuralgia, 1232
epileptiform, 1233
spasm, painless, 462

Facies hysterica, 230

Faith-cure, 277

Family form of tabes dorsalis, 870

Faradic reactions, significance, in diagnosis of nervous lesions, 66

Fasting girls, 351
saints, 351

Fatty heart, in chronic alcoholism, 611

Febrile insomnia, 379

Feeding, forced, in neurasthenia, 359

Feet, condition of, in advanced tabes dorsalis, 838
in diffuse sclerosis, 888

Festination in paralysis agitans, 436

Fever, thermic, 388
and cerebral anæmia, 779

Fibrillary contractions in nervous diseases, 47

Fifth nerve, neuralgias of, 1233

Flexibility, wax-like, in catalepsy, 321, 337

Fontanels, state of, in chronic hydrocephalus, 741, 742
in tubercular meningitis, 727

Frauds of hysterical patients, 233, 234

Frequency of epileptic attacks, 483

Friedreich's disease, 870

Front-tap, in diffuse spinal sclerosis, 888

Functional nervous diseases, diagnosis of, 63

G.

Gait in chronic lead-poisoning, 686
in diffuse sclerosis, 888
in general paralysis of the insane, 194
in paralysis agitans, 435
in spastic spinal paralysis, 863, 864
in tabes dorsalis, 831

Galvanic reactions, significance of, in diagnosis of nervous lesions,
66

Galvanism, use in insanity, 137

Ganglionic elements, condition of, in abscess of the brain, 793

Gangrene in vaso-motor neuroses, 1252
Definition, history, and synonyms, 1257
Duration, course, and nature, 1261
Etiology and diagnosis, 1262, 1263
of Reynaud's disease, 1259, 1260
Prognosis, 1262
Symmetrical, 1257
Symptoms, 1258-1260
Treatment, 1262
Electricity, 1262
Massage, rest, and tonics, use, 1262
Opium, use, 1262

Gastric crises in tabes dorsalis, 835
Disorders, as a cause of epilepsy, 474
Vertigo, 420

Gastralgia (see _Neuralgia_).

Gelsemium, use, in neuralgia, 1225
in painless facial spasm, 462

General paralysis of the insane, 176

Genital organs, disorders of, in chronic alcoholism, 614

Genito-urinary disorders of the chloral habit, 662, 663
of the opium habit, 654, 658

Genius, relations of, to insanity, 115

Glandular system, atrophy of, 1268

Gliomatous tumors of the brain, 1046

Gold, use of, in hemiplegia, 970
and sodium chloride, use of, in hysteria, 278

Gout, relation of, to chronic lead-poisoning, 685
to hysteria, 215

Guarana, use, in migraine, 1232

Gummatous brain syphilis, 1003, 1014
brain tumors, 1049

Gums, state of, in chronic lead-poisoning, 684

Gustatory sensory disturbances in nervous diseases, 41

Gymnastics, value of, in hysteria, 275, 280
in writers' cramp, 536

Gynæcological treatment of hysteria, 289

H.

Habit, influence on causation of alcoholism, 577
opium, and kindred affections, 647

Hæmatoma of the dura mater, 707

Hæmatorrachis, 754

Hair, changes in, in progressive unilateral facial atrophy, 695

Hallucinations in alcoholism, 626, 631
in cerebral anæmia, 782, 784, 785
hyperæmia, 769
in delirium tremens, 627, 628
in hystero-epilepsy, 301
in nervous diseases, 21, 22
in the opium habit, 655, 658, 659

Handwriting in general paralysis of the insane, 183
in paralysis agitans, 435

Head, changes in, in chronic hydrocephalus, 742, 743
retraction of, in acute simple meningitis, 718
retraction of, in tubercular meningitis, 726, 727

HEADACHE, 401-414
Diagnosis, 405
Duration, 401
Symptoms, 402
from dyspepsia, 405
from eye-strain, 404
from sunstroke, 404
of anæmic and congestive form, 402
of hysterical and toxic form, 402
of organic and neurasthenic form, 403, 404
of rheumatic, pyrexial, and syphilitic form, 403
of sympathetic form, 404
Synonyms, 401
Treatment, 406, 413

Headache in abscess of the brain, 795
in acute simple meningitis, 717, 718
in anæmia of the brain, 783
in cerebral anæmia, 783
meningeal hemorrhage, 712
syphilis, 1003
in children, 405
in chronic cerebral meningitis, 722
in external pachymeningitis, 705
in hæmatoma of the dura mater, 707
in hyperæmia of the brain, 770
in the chloral habit, 663, 665
in the opium habit, 655
in thermic fever, 390
in tubercular meningitis, 725, 726
in tumors of the brain, 1033
spinal cord, 1096
periodical or sick, 1216, 1230

Head-pressure, sense of, in cerebral hyperæmia, 769

Hearing, disorders of, in alcoholism, 623
in Bell's palsy, 1204
in cerebral hyperæmia, 772
in hemiplegia, 955
in neuralgia, 1213
in progressive unilateral facial atrophy, 698
in tumors of the brain, 1030, 1043

Heart, disorders of, in angina pectoris, 1237
in chronic alcoholism, 610-612
in disease of cervical sympathetic, 1265
in labio-glosso-laryngeal paralysis, 1171
in neurasthenia, 356
in tabes dorsalis, 836
in the chloral habit, 662
in the opium habit, 654, 658, 659
influence on causation of embolism and thrombosis of cerebral
veins, 951
of intracranial hemorrhage and apoplexy, 930

Heat, affections produced by exposure to, 387

Heat-exhaustion, 387
Pathology and treatment, 388

Heat, use of, in concussion of the spine, 911

Hebephrenia, 171

Hemianæsthesia, hysterical, 247

Hemianopsia in nervous diseases, 39, 40
in tumors of the brain, 1030, 1042

Hemicrania angio-paralytica, 409, 411
spastica, 409, 411

Hemiparaplegia in nervous diseases, 44

Hemiplegia, hysterical, 238
in cerebral hemorrhage and occlusion of cerebral vessels, 940, 954
in cerebral meningeal hemorrhage, 712
in infantile spinal paralysis, 1120
varieties in nervous diseases, 42, 43

Hemispasm in nervous diseases, 45

Hemorrhage as a cause of cerebral anæmia, 776
cerebral meningeal, 710
intracranial, 918
spinal meningeal, 754

Hemorrhages of spinal cord, 808

Hemorrhagic pachymeningitis, 707

Hepatitis, parenchymatous and interstitial, in chronic alcoholism, 604

Hereditary alcoholism, 634
Ataxia, 870
Tabes, 870

Heredity, influence on causation of alcoholism, 576
of angina pectoris, 1238
of cerebral hyperæmia, 765
of chorea, 440
of chronic hydrocephalus, 741
of copodyscinesia, 513
of epilepsy, 468
of general paralysis of the insane, 177
of hysteria, 214
of insanity, 113
of intracranial hemorrhage and apoplexy, 929
of migraine, 407, 1231
of neuralgia, 1216
of syphilitic affections of nerve-centres, 1000
of tabes dorsalis, 851
of tremor, 429
of tubercular meningitis, 724
of tumors of the brain, 1029

History of alcoholism, 574
of catalepsy, 315
of chorea, 439
of chronic lead-poisoning, 678
of ecstasy, 399
of epilepsy, 467
of general paralysis of the insane, 176
of hysteria, 207
of hystero-epilepsy, 289
of insanity, 109
of labio-glosso-laryngeal paralysis, 1169
of neural disorders of writers and artisans, 504
of progressive unilateral facial atrophy, 693
of spina bifida, 757
of symmetrical gangrene, 1257
of tabes dorsalis, 826
of the opium habit, 504
of tubercular meningitis, 723

Home, removal from, question of, in treatment of opium and chloral
habit, 670, 671

Home treatment of the insane, 128, 130, 131, 133

Homicidal insanity, 146

Hughlings-Jackson on origin of epilepsy, 489

Hydrobromic acid, use, in epilepsy, 501

Hydrocele, spinal, 757

HYDROCEPHALUS, CHRONIC, 740
Definition and synonyms, 740
Diagnosis, 744
Duration, 733
Etiology, 741
Pathological anatomy and prognosis, 744
Spurious, in cerebral anæmia, 785
Symptoms, 741
Treatment, 745
by compression, 745
by evacuation of the fluid by puncture, 745
Medicinal, 745

Hydropathic treatment of hysteria, 282
of neuralgia, 1226

Hydrorachis (see _Spina Bifida_), 757

Hygienic treatment of chronic hydrocephalus, 745
of hemiplegia, 978
of hysteria, 274
of neuralgia, 1223
of tubercular meningitis, 735

Hyoscyamine, use, in painless facial spasm, 462
in torticollis, 464

Hyoscyamus, use, in alcoholism, 645
in brain tumors, 1068
in paralysis agitans, 438
in tremor, 432
in tremors of spinal sclerosis, 905
in tubercular meningitis, 736

Hyperæmia of the brain, 763
Spinal, 801

Hyperæsthesia, hysterical, 250
in acute spinal meningitis, 750
in acute spinal pachymeningitis, 747
in chronic alcoholism, 620
in chronic spinal meningitis, 752
in multiple neuritis, 1195
in symmetrical gangrene, 1259
in tumors of the brain, 1042
of the spinal cord, 1091, 1092

Hyperæsthesiæ, varieties of, in nervous diseases, 31-33

Hyperkinesis, in nervous diseases, 44-47

Hypertrophy, 1271
of the brain, 996

Hypnotic catalepsy (hypnotism), 322, 373

Hypnotics, use, in cerebral hyperæmia, 773

Hypnotism, 322, 373

Hypochondriacal form of general paralysis of the insane, 188
insanity, 150

Hypochondriasis, 154

Hypophosphites, use, in alcoholism, 644, 646
in general paralysis of the insane, 201

HYSTERIA, 205
Course, complications, and duration, 258
Definition, 205
Diagnosis, 260
from acute mania, 262
from general nervousness, 262
from hypochondria, 262
from multiple cerebro-spinal sclerosis, 267
from neurotic temperament, 261
from neurasthenia, 262
from spastic spinal paralysis, 267
from spondylitis, 268
from true joint affections, 270
of hysterical blindness and deafness, 271
of hysterical paralyses, 266
Etiology, 216
Age, influence of, 216
Anæmia and chlorosis, influence of, 220
Diatheses, gouty and phthisical, influence of, 214, 215
Education, influence of, 218-220
Heredity, influence of, 214
Imitation, influence of, 222-229
Kidneys, movable, influence of, 221
Local and sexual irritation, influence of, 220, 221
Menstrual disorders, influence of, 220
Race, climate, and social position, influence of, 217, 218
Sex, influence of, 215
History, 207
Pathology, 208-213
Prognosis, 272
Symptoms, 229
Aphonia, 239
Breathing, peculiarities of, 245
Chorea, 242
Clavus hystericus, 252
Contractures, 244
Convulsions and general spasms, 235-237
Dysphagia, 239-245
Ear affections, 249
Erotomania, 235
Eye affections, 247, 248
Facies hysterica, 230
Frauds and deceptions, 233
Insanity, 231-233
Joint affections, 251
Local spasms, 244
Locomotor ataxia, 240
Mental state, 230
Nymphomania, 235
Pain, 250
Paralyses, varieties and characters, 237-241
Phantom tumors, 255
Rectal, 240
Sensorial affections, 246-250
Simulating pregnancy, 254
Smell and taste, perversion of, 250
Spinal irritation, 251
Temperature and pulse, 252
Urinary secretion, state of, 253
Vaginismus, 246
Vomiting, 254
Synonyms, 206
Treatment, 273
Baths, use of, in, 282, 283
Bromides, use of, 276
Chloroform, use of, 285, 286
Climatic, 283
Cold, use of, 282, 283
Education, necessity of proper, 274
Electricity, use of, 281-286
Emetics in controlling seizures, 285
Exercise and gymnastics, use in, 275, 280
Gold and sodium chloride, use of, 279
Gynæcological, question of, 286, 287
Harsh measures, questionable value of, 276
Hydrotherapy in, 281, 282
in children, 275
Iron and zinc salts, use in, 278
Massage and Swedish movements, 280
Metallo-therapy, 284
Mind- and faith-cures, value of, 277, 278
Mitchell's rest-cure, 279
Moral, 276
Musk, valerian, asafœtida, etc., 278
Nitrite of amyl, 285
of contractures, 286
of paralyses, 286
of paroxysms, 285
Opium, use of, 278
Oöphorectomy, question of, 287
Prophylactic and hygienic, 274
Sea-bathing in, 283

Hysteria as a cause of disseminated sclerosis, 884
of vertigo, 425
distinguished from brain tumors, 1055

Hysterical headache, 402
insanity, 148

HYSTERO-EPILEPSY, 288
Definition and synonyms, 288
Diagnosis, 307
from true epilepsy, 308
from simulation, 310
Duration and course, 307
Etiology, 291
Age, influence of, 291
Emotional, 293
Painful menstruation, 293
Sex, race, and climate, 291
History, 289
Pathology, 291
Prognosis, 310
Symptoms, 293
Anæsthesia, 298
Contracture, 297
Digestive, 297
Hallucinations, 301
Hystero-epileptogenic zones, significance of, 298
of contortions and great movements, 301
of delirium, 301
of emotional attitudes, 301
of epileptoid period, 300
of irregular types, 302
of regular types, 293
of paroxysms, 293, 304, 306
Ovarian hyperæsthesia, 298
pressure, effect of, 299
Permanent, 307
Prodromal, 297
Treatment, 310
Compression of nerve-trunks, 310
Electricity, use of, 311-313
Metallic salts, use of, 313
Metallo-therapy, 313
Nitrite of amyl and nitro-glycerin, 311
Oöphorectomy, question of, 312
Potassium bromide, use of, 313
Torsion of abdominal walls to arrest paroxysms, 311
Varieties, 290

I.

Ice, use of, in acute simple meningitis, 720
in cerebral meningeal hemorrhage, 715
in neuritis, 1194
in tubercular meningitis, 736

Idiocy, intellectual and moral, 138

Ill-health, influence on causation of insanity, 116, 117

Illusions in nervous diseases, 20

Imbecility, intellectual and moral, 138
in inflammation of the brain, 791

Imitation, influence on causation of catalepsy, 319
of hysteria, 222-229

Impotence in tumors of spinal cord, 1096

Impulsive insanity, 146

Inco-ordination in nervous diseases, 47-50

Inebriety, trance state in, 346

INFANTILE SPINAL PARALYSIS, 1113
Anatomical lesions, 1131
Atrophy of anterior spinal horns, characters, etc., 1133, 1138,
1139
nerve-roots and anterior columns of the cord, 1138, 1139
Autopsies, tables of, 1133-1136, 1139
Microscopic lesions, 1137
Theories interpreting the lesions of the cord, 1140-1144
regarding origin, premature, 1132
Complication with progressive muscular atrophy, 1149
Course of, 1148
Definitions, 1113
Deformities of atrophic paralysis, 1127
Criticism of theory of muscular antagonism, 1128
Dislocations in, 1130
Mechanism of, 1128, 1131
Muscular contraction in, 1127
Relation of weight and muscular forces, 1130
Diagnosis, 1152
from cerebral paralysis, 1152
from diphtheritic paralysis, 1153
from diseases of bony skeleton and articulations, 1154
from hæmatomyelitis, 1153
from lesions of peripheric nerves, 1153
from progressive muscular atrophy, 1153
from pseudo-paralysis of syphilitic children, 1153
of special paralysis, 1123
Atrophy in, 1124
Loss of faradic contractility, 1125
Negative symptoms, 1126
Temperature of skin, 1124
Etiology, 1151
Blood-poisons, influence of, 1151
Cold, influence of, 1152
Traumatism, influence of, 1151
History, clinical, summary of, 1114
Invasion, mode of, 1115
Pathogeny, 1144
Consequence of limitation of the myelitis to anterior horns of
spinal cord, 1144
Relation between limitation of the myelitis and age, 1147
Trophic lesions of, 1145
Prodromata, 1115
Acute specific and apyretic diseases, 1116
Convulsions, 1116
Fever, duration of, 1115, 1116
Hemiplegia, 1120
Immunity of certain muscles and nerves, 1118
Paralysis, characters of, 1117
Crossed, and paralysis of trunk, 1120
Locality of permanent, 1119
of facial nerve, 1120
Significance and original extent of, 1117
Paralyzed muscles, combinations of, 1121-1123
Prognosis, 1149
Special paralyses, influence on locomotion, 1150
Symptoms in detail, 1114
Synonyms, 1113
Treatment, 1155
Belladonna, use, 1155
Counter-irritation, 1155
Electricity, 1156
Ergot, 1155
Heat, use of, 1157
Ice, 1155
Iodide of potassium, 1156
Locomotion, importance of maintenance of, 1159
Massage and Swedish movements, 1157
Mechanical appliances, 1159-1164
Stretching and manipulation of contracted and atrophied muscles,
1158
Strychnia, use of, 1157
Tenotomy, indications for, 1158, 1159, 1161, 1163, 1164

Inflammation as a trophic neurosis, 1273
of brain, 790
of external surface of dura mater of brain, 704
of nerves, 1189
of the dura mater of the brain, 703

Injuries, influence on causation of intracranial hemorrhage and
apoplexy, 931
of peripheral nerves, 1182

Insane, acute alcoholism in the, 594
Cataleptic phenomena in, 327
Temperament, peculiarities of, 140

Insanity (see also _Mental Diseases_).
Alcoholic, 631
Cerebral syphilitic, 202
Chronic alcoholic, 202
Circular, 151
Doubting, 170
Epileptic, 149
from gross cerebral lesions, 202
Homicidal, 147
Hypochondriacal, 150
Hysterical, 148, 230-233
Impulsive, 146
Increase of, question of, 112, 117
Influence on causation of hæmatoma of the dura mater, 707
of the opium habit, 651
Menstrual, 173
Moral, 143
of childhood, 171
of lactation, 782
Primary, 151
Primary, confusional and delusional, 167
Periodic, 150
Puerperal, 173
Secondary, delusional, 203
Suicidal, 146
Syphilitic, 175, 1017
Terminations of, in delirium tremens, 630
Transitory, 164

Insomnia, 379
in cerebral anæmia, 783
in delirium tremens, 627, 629
in the chloral habit, 665
in the insane, treatment, 137
in the opium habit, 655

Intellect, state of, in alcoholism, 625
in symmetrical gangrene, 1260

Intellectual pursuits, as a cause of intracranial hemorrhage and
apoplexy, 931

Intercostal neuralgia, 1234

Intermarriage, influence on causation of insanity, 115

Intermittent neuralgia of supraorbital nerve, 1233

Intestines, disorders of, in chronic alcoholism, 601, 602