Chapter LXXXV: Conclusion: While an attempt has been made here to consider vaso-motor (2)

INTRACRANIAL HEMORRHAGE AND OCCLUSION OF THE CEREBRAL VESSELS,
APOPLEXY, SOFTENING OF THE BRAIN, CEREBRAL PARALYSIS, 917
_Atheroma of the Cerebral Arteries_, 991
Diagnosis, 992
Prophylaxis and treatment, 992
_Capillary Embolism_, 979
Diagnosis, 981
Etiology and morbid anatomy, 979, 980
Prognosis and treatment, 981
Symptoms, 980
_Intracranial Hemorrhage_, 917
Appearances of old, 921
Clots, characters of, and changes in, 920
Definition of apoplexy, 917, 918
Etiology, 957
Age, 927-929
Alcohol, 929, 933
Apoplectic constitution, characteristics of, 930, 931
Bright's disease, 930
Exciting causes, 931
Heart disease, 930, 931
Heredity and sex, 929
Intellectual pursuits, 931
Narcotic poisons, 933
Obstruction to circulation, 931, 932
Season, 931
Situation of, 918-921, 923, 924
Traumatism, 932
Miliary aneurisms, causes, seat, and characters of, 921, 922
Pathology of hemorrhagic apoplexy, 925-927
Symptoms, 933
Consciousness, loss of, onset and degrees of, 933
temporary loss of, significance and causes of, 942, 943
Eyes, state of, 939, 941
Facial expression, 935
Headache and paræsthesia as premonitory signs, 946
Hemiplegia, 940
Mental disturbances and aberrations of special senses, 945
Muscular relaxation, 935, 939
Paralysis, 938
Pulse, state of, 939, 944
Respiration, 935
Retinal hemorrhages, 944
Sensibility, state of, 942
Speech, 939
Sphincters, state of, 941
Swallowing, 935
Temperature, 935-938
Tongue, state of, 939
Vertigo, significance of, 745
Vomiting, 935
Vessels, cerebral, state of, in, 922
_Occlusion of the Cerebral Arteries_, 946
Diagnosis between hemorrhage, embolism, and thrombosis, 971, 972
from apoplectiform attacks of intracranial syphilis, 967
from comatose form of pernicious intermittent fever, 966
from diabetic coma and sunstroke, 966
from epilepsy, 965
from hysteria, 966, 968
from injuries to the head, 966
from meningitis of the vertex, 967
from narcotic poisoning, 964
from uræmia, 965
localization of lesions in, 969
Etiology, 950
Age, influence of, 951
Heart and arteries, disease of, 951
Heart-weakness and hæmic dyscrasia, 951
Morbid anatomy, 946
Cerebral substance, changes in, produced by emboli and thrombi,
949
Emboli and thrombi, seat of, 947-949
source of, 947
Regions of brain usually involved in softening, 949, 950
Prognosis, 972-974
Symptoms, 952
Aphasia, 956-960
Arthropathies, 962
Atrophy, muscular, 962
Chorea, post-paralytic, 960
Mental condition, 956, 957
Motor paralysis, duration and course, 954
Reflexes, increased, rigidity and contracture, 962, 963
Sensation, state of, 955
Temperature, 960, 961
Urine, state of, 961
Word-blindness, 959
Treatment, 974
of cerebral embolism, 977
of attack, 977
Prophylaxis, 977
of cerebral hemorrhage, 974, 975
Artificial respiration, 976
Bleeding and purgatives, 976
Cleanliness, necessity of, 977
Prophylaxis, 974
Surgical measures, 977
of cerebral thrombosis, 977
of paralysis and later symptoms, 978
Electricity, use of, 978
Iodide of potassium and phosphorus, use, 978
Massage, use, 978
Silver, gold, and strychnia, use, 978
Re-education of faculty of speech, 979
_Softening of the Brain_, 918, 949, 989
_Thrombosis of the Cerebral Veins and Sinuses_, 982
Diagnosis, 987
Localization of the thrombus, 988
Etiology, 983
Age, 983
Anæmia, simple, as a cause, 984
Carbuncles and erysipelas as a cause, 985
Ear, diseases of, 985
of marantic form, 983, 984
Special diseases most likely to result from, 983
Prognosis, 988
Symptoms, 986
dependent on disturbances of cerebral function, 986
dependent on congestion and compression of other structures,
986, 987
Treatment, 988
Ammonia, use of, 989
Prophylactic, 989
Surgical measures, 989

Iodide of potassium, use of, after intracranial hemorrhage and
apoplexy, 978
in acute spinal meningitis, 752
in Bell's palsy, 1207
in cerebral meningeal hemorrhage, 415
syphilis, 1016
in chronic cerebral meningitis, 722
in chronic lead-poisoning, 691
in epilepsy, 502
in general paralysis of the insane, 201
in hæmatoma of dura mater, 710
in multiple neuritis, 1198
in neuritis, 1194
in spinal sclerosis, 900
in thrombosis of cerebral veins and sinuses, 989
in tubercular meningitis, 736

Iodine, injection of, into sac of spina bifida, 762
use of, in acute spinal meningitis, 752
in chronic spinal meningitis, 753
and iodide of potassium, use of, in spinal meningeal hemorrhage, 756

Iridoplegia in tabes dorsalis, 829

Iron, use of, in alcoholism, 643
in catalepsy, 338
in chorea, 455
in chronic hydrocephalus, 745
in hysteria, 278
in hystero-epilepsy, 313
in neuralgia, 1224
in spinal meningeal hemorrhage, 756
in tubercular meningitis, 735

Irritability in tubercular meningitis, 725, 727

Irritable breast of Astley Cooper, 1235

Irritation, local, influence on causation of hysteria, 220, 221

J.

Jaw reflex, in amyotrophic lateral sclerosis, 868

Jerking malady, hysterical nature of, 226

Joint affections, hysterical, 252
in tabes dorsalis, 830, 837
of chronic lead-poisoning, 684

Jumpers, the, hysterical nature of, 227

Jumping chorea, 244

K.

Katatonia, 166, 327

Kidneys, disorders of, in chronic alcoholism, 612, 613
in the chloral habit, 662
in the opium habit, 654
movable, as a cause of hysteria, 221

Kinesodic system of encephalon, lesions, 86
of spinal cord, localization of lesions in, 71

Kleptomania, 147

Knee-jerk, alterations, in general paralysis of the insane, 195
in amyotrophic lateral sclerosis, 868
in chorea, 448
in diffuse spinal sclerosis, 888
in disseminated sclerosis, 875
in epilepsy, 481
in hemiplegia, 962
in nervous diseases, 152
in spastic spinal paralysis, 862
in spinal syphilis, 1025
in tabes dorsalis, 829, 835, 857, 858
in the chloral habit, 664
in tumors of the spinal cord, 1092
significance in diagnosis of hysteria, 265, 266

L.

Lactation, prolonged, as a cause of epilepsy, 471

LABIO-GLOSSO-LARYNGEAL PARALYSIS, PROGRESSIVE, 1169
Definition, 1169
Diagnosis, 1174
Etiology, 1173
History, 1169
Pathological anatomy, 1172
Symptoms, 1170
Articulation, difficulty of, characters of, 1170, 1171
Deglutition, difficult, 1170
Facial expression, 1170
Heart, disorders of, 1170
Paralysis and atrophy of muscles of neck and extremities, 1172
Respiration, disturbances of, 1171
Tongue, condition of, 1170-1172
Synonyms, 1169
Treatment, 1174
Diet, 1175
Electricity, 1175
Metallic salts and quinine, 1175

Language, development of, 568

Laryngeal vertigo, 425

Larynx, disorders and lesions of, in chronic alcoholism, 607

Lateral sclerosis, 861

Lead, mode of action of, in the system, 689

LEAD-POISIONING, CHRONIC, 678
Channels of introduction into body, 680-682
Classification, definition, and history, 678
Diagnosis, 690
Etiology, 679
Age, sex, and diet, influence of, 680
Exciting causes, 680
Occupation, influence of, 681
Season and climate, influence of, 679, 680
Morbid anatomy and pathology, 689
Prognosis, 684, 687, 689
Symptoms, 682-689
Albuminuria in, 689
Amaurosis in, 689
Bluish line upon gums, significance of, 682
Disturbances of nutrition, 682
in animals, 690
of lead colic, 683
of the arthralgia, 684
of the encephalopathy, 688
of the paralysis, 685
Synonyms, 678
Treatment, 690
Alum, use, 691
Electricity and massage, use, 691
Opium, use, in colic, 691
Potassium iodide, use, 691
Prophylaxis, 690
Sulphuric acid and magnesium sulphate, use, 690, 691

Lead tremors, 429, 683

Leptomeningitis, cerebral, 716
spinal, 749

Lesions in the nervous system, localization of, 65

Lethargy, 344, 384
in cerebral anæmia, 782, 783
lucid, 385

Levinstein's method of treating the opium habit, 672

Ligation of the sac of spina bifida, 762

Lipomatous tumors of the brain, 1049

Lithæmic insomnia, 379

Liver, changes in, and disorders of, in chronic alcoholism, 603, 607

Local convulsive disorders, 461

Localization of functions of spinal cord, table showing, 77

LOCALIZATION OF LESIONS IN THE NERVOUS SYSTEM, 65
Cranio-cerebral topography, 93-98
in base of brain, 91
in cerebellum, 90
in encephalic mass, 81-93
in medulla oblongata, 79, 80
in peripheral nervous system, 65-69
in spinal cord, 69-79

Localization of abscess of the brain, 795, 800
of cerebral hemorrhage and embolism, 969
of thrombosis of cerebral veins and sinuses, 988
of tumors of the brain, 1056
of the spine, 1100

Lock-spasm of writers' cramp, 517

Locomotion, influence of special paralyses of, in infantile spinal
paralysis, 1150

Locomotor ataxia, 826
hysterical, 240

Lordosis in atrophic infantile paralysis, 1131

Lumbo-abdominal neuralgia, 1235

Lungs, disorders of, in chronic alcoholism, 608
in the opium habit, 658

Lupulin, use of, in the opium habit, 676

M.

Magnesium sulphate, use of, in chronic lead-poisoning, 691

Main en griffe in chronic spinal pachymeningitis, 749

Malaria as a cause of cerebral anæmia, 790
influence of, on the causation of chorea, 444

Malarial epilepsy, 472
neuralgias, 1212

Male sex, prevalence of hysteria in, 215

Malnutrition of brain in infants, 778

Malt liquors, characters of intoxication from, 591

Mammillary neuralgia, 1235

Mania, 161
chronic, 163
following epilepsy, 482
in alcoholism, 631

Maniacal excitement in general paralysis of the insane, 192
form of acute alcoholism, 592
of general paralysis of the insane, 188

Marriage, influence on recovery from epilepsy, 498
question of, in the insane temperament, 115, 141

Massage, use of, in hemiplegia, 978
in hysteria, 280
in infantile spinal paralysis, 1157
in lead palsy, 691
in melancholia, 160
in neuralgia, 1223
in neurasthenia, 360, 361
in progressive unilateral facial atrophy, 702
in symmetrical gangrene, 1261
in vaso-motor neuroses, 1255
in writers' cramp, 536

Mastoid cells, inflammation of, as a cause of thrombosis of cerebral
veins and sinuses, 983

Masturbation, influence on causation of cerebral anæmia, 778
of epilepsy, 474
of insanity, 119
in the insane, treatment of, 137
of hysteria, treatment of, 276

Mechanical appliances, use of, in infantile spinal paralysis, 1159
in writers' cramp, 540
restraint in treatment of the insane, 135, 136

Medulla oblongata, degeneration of, in labio-glosso-laryngeal
paralysis, 1172
localization of lesions in, 79

Medullary centres of the vaso-motor system, 1250

Megalopsia in nervous diseases, 40

Melancholia, 155
agitata, 158
cerebral nutrition in, 775
in alcoholism, 631
in children, 158
in general paralysis of the insane, 188

Membranes, spinal, congestion of, 746

Memory, loss of, significance of, in nervous diseases, 28-30

Ménière's disease, 422

Meningeal cerebral hemorrhage, 710
Diagnosis, 714
Etiology, 711
Pathological anatomy, 713
Prognosis, 715
Symptoms, 712
Synonyms, 710
Treatment, 715

Meningeal spinal hemorrhage, 754

Meningitis, acute, 716
and chronic, following thermic fever, 399
spinal, 749
chronic spinal, 752

MENINGITIS, TUBERCULAR, 723
Definition, synonyms, and history, 723
Diagnosis, 732
from acute simple meningitis, 733
from eclampsia, 734
from gastro-intestinal affections, 734
from hydrencephaloid disease, 734
from typhoid fever, 733
Etiology, 724
Age and sex, influence of, 725
Exciting causes, 725
Hereditary tendency to tuberculosis and scrofulosis, 724
Season, influence of, 725
Pathological anatomy and duration, 729
Prophylaxis, 736
Prognosis, 735
Symptoms, 725
Abdomen, state of, 726
Cerebral, 726-729
Constipation, 725-727, 729
Cry, 726, 727
Decubitus, 727
Eyes, state of, 726-729
Headache, 725-727
in the adult, 737-739
Paralysis and convulsions, 727, 728
Prodromal, 725
Pulse, respiration, and temperature, 726-728
Pupils, state of, 726-729
Sensitiveness to light, 725-727
Strabismus, 727
Stupor, 726-729
Tongue, state of, 726, 729
Vomiting, 725, 729
Treatment, 735
Bromides, chloral, and hyoscyamus, 736
Counter-irritation, value of, 736
Diet in, 736
Iodide of potassium, use, 736

Menorrhagia and amenorrhœa in the insane, treatment of, 136

Menstrual disorders, influence on causation of hysteria, 220
in the opium habit, 656, 658
insanity, 173

Menstruation, influence on recovery from epilepsy, 498
on causation of cerebral hyperæmia, 766
of spinal hyperæmia, 802
painful, influence on causation of hystero-epilepsy, 293

Mental condition in acute spinal meningitis, 750
in atrophy of the brain, 994, 996
in chorea, 445
in chronic hydrocephalus, 742, 743
in delirium tremens, 628
in disseminated spinal sclerosis, 877
in hemiplegia, 956
in hysteria, 230
in tabes dorsalis, 836
in tumors of the brain, 1037
of the spine, 1096
Defects and degeneration, states of, 138
Deterioration, primary, 70

MENTAL DISEASES, 99
_Insanity_, 99
Causation, 113
Age, influence of, 116, 117
Alcohol and nerve-stimulants, abuse of, 116, 119
Drugs, abuse of, 119
Emotions and mental strain, 117, 118
Classification of, 105, 109
Definition of, 99-105
Diagnosis of, 123-125
Exciting causes, 118-120
Heredity, 113
Ill-health, disease, etc., 116, 117, 119
Intermarriage, 115, 116
Occupation, 118
Pulmonary consumption, relation to, 119
Sex, 118
Social position, 117, 118
Vicious early training, 116
History, 109
Morbid anatomy and pathology, 121-123
Prevalence, 110-113
Prognosis, 125
Mortality, 126
Percentage of recoveries, 126
Treatment, 127
Asylums, methods of commitment to, 134
objection to, 127, 130
question of removal to, 127-135
Galvanism, use, 137
Home, removal from, question of, 128, 133, 135
Home, 131
Mechanical restraint in, 135, 136
Medicines, value of, in, 135
of cerebral hyperæmia in, 136
of constipation in, 137
of insomnia in, 137
of intercurrent diseases in, 136
of masturbation in, 137
of menorrhagia and amenorrhœa in, 136
Preventive, 137, 138
Rest and sleep, value of, in, 137
Sedatives and narcotics, use in, 133, 137
_Insanity complicating_, 174
_Insanity from Specific Poisons_, 175
_Organic_, 176
General paralysis of the insane, 176
Definition, 176
Diagnosis, 197
Etiology, 177
Age and sex, 177
Excesses, influence of, 177
Heredity, 177
Mental shock, 178
Syphilis, 178
History, 176
Morbid anatomy and pathology, 196
Prognosis, 200
Symptoms, 178
Delusions, characters, 187, 188, 190-192
Mental, 179, 190-193
Moral sense, perversion of, 190
of demented and paralytic form, 187
of hypochondriacal form, 188
Onset, mode of, 178
Physical symptoms, 193
Ataxia, 188, 189, 193
Bones, state, 196
Gait, 194
Handwriting, 183, 186, 193
Hyperæsthesiæ, 194
Knee-jerk, significance, 195
Pupils, state, 195
Remissions, 194
Sexual functions in, 195
Speech, alteration in, 194
Urine in, 1195
Prodromal, 178
Temperature in, 179
with melancholia, 188
with mania, 188
Synonyms, 176
Treatment, 201
Cod-liver oil, use, 201
Ergot, use, 201
Hypophosphites, use, 201
Potassium bromide and iodide, use, 201
Rest and quiet, value, 201
Insanity, chronic alcoholic, 202
from gross lesions of brain, 202
secondary delusional, 203
Terminal dementia, 203
Treatment, 203, 204
_States of Mental Defect and Degeneration_, 138
Circular insanity, 151
Constitutional affective mental disease, 142
Prognosis, 142
Treatment, 143
Epileptic insanity, 149
Hypochondriacal insanity, 150
Hysterical insanity, 148, 149
Idiocy, 138
Classification, 139
Impulsive insanity, or instinctive monomania, 146
Dipsomania, 147
Erotomania, 147
Homicidal insanity, 147
Nymphomania and satyriasis, 147
Pyromania and kleptomania, 147
Treatment, 148
Suicidal insanity, 146
Insane temperament, 140
Treatment, 141
Moral insanity, 143
Symptoms, 143-146
Treatment, 146
Periodic insanity, 150
Primary insanity, 151
Prognosis and treatment, 152
_Psycho-neuroses_, 153
Affective mental disease, 153
Prognosis and treatment, 154
Climacteric insanity, 173
Delirium, acute, 163
Dementia, primary, 164
secondary, 165
Treatment, 165
Doubting insanity, 170
Hebephrenia, 171
Treatment, 172
Hypochondriasis, 154
Prognosis and treatment, 155
Insanity of childhood, 171
Katatonia, 166
Mania, 161
acute, 161
Treatment, 161
simple, 162
Treatment, 162
Melancholia, 155
Agitata, 158
Duration and prognosis, 159
in children, 158
simple, 155
Treatment, 159
Asylums, removal to, 159
Narcotics and sedatives, use, 160
Tonics, use, 160
with delusions, 156
with stupor, 158
Menstrual insanity, 173
Primary confusional insanity, 167
Primary delusional insanity, 167
Primary mental deterioration or brain atrophy, 170
Puerperal insanity, 173
Senile dementia, 174
insanity, 173
Transitory insanity, 164

Mental emotion, influence on causation of neurasthenia, 354
influences as a cause of cerebral anæmia, 780
shocks, influence on causation of general paralysis of the insane,
178
strain, influence on causation of insanity, 118
symptoms of external pachymeningitis, 705
of general paralysis of the insane, 190

Mercurial tremor, 429

Mercury, use of, in cerebral hyperæmia, 1016
in chronic spinal meningitis, 754
in hæmatoma of the dura mater, 710
in spinal sclerosis, 900
in tetanus, 555
in tubercular meningitis, 736

Metallic salts, use, in catalepsy, 338
in labio-glosso-laryngeal paralysis, 1175
in progressive unilateral facial atrophy, 702

Metallo-therapy, use, in hysteria, 284
in hystero-epilepsy, 313

Metastasis as a cause of cerebral abscess, 796

Microcephalism, 138

Migraine, 406, 1216, 1230
Diagnosis and prognosis, 410
Etiology, 406
Age and sex, influence of, 406
Heredity, influence of, 407
Pathology and morbid anatomy, 410-413
Symptoms, 407
Circulation, disorders of, 409
Digestive, 409
Pain, seat and character, 408
Paroxysms, characters of, 408, 409
Synonyms, 406
Treatment, 413
Bromides, use, 414, 415
Caffeine and guarana, use, 414
Cannabis indica, use, 413, 415
Climate, change of, 413
Ergot, use, 413, 414
Galvanism, use, 414, 415
in childhood, 415
Indications for, 413
Morphia, use, 415
Muriate of ammonium and chloral, use, 415
Nitrite of amyl and nitro-glycerin, 414
Quinia, use, 414

Miliary aneurisms, relation of, to cerebral form of encephalitis, 792
hemorrhage, 921-923
tubercles in tubercular meningitis, seat and character, 730, 732

Mimicry in hysteria, 251, 255, 270-272

Mind-cure in hysteria, 277

Miryachit, the, hysterical nature of, 228

Mitchell's rest-cure in hysteria, 279
in neurasthenia, 358-362

Monoplegia, hysterical, 238
in nervous diseases, 44

Monospasm in nervous diseases, 46

Moral insanity, 143
management of spinal sclerosis, 906
sense, deterioration of, in chronic alcoholism, 624
treatment of hysteria, 276

Morbid anatomy of abscess of the brain, 792
of acute simple meningitis, 719
of acute spinal meningitis, 750
of acute spinal myelitis, 812
of amyotrophic lateral sclerosis, 867
of cerebral anæmia, 781
of cerebral hemorrhage, 919-927
of cerebral hyperæmia, 767
of cerebral meningeal hemorrhage, 713
of chorea, 450
of chronic spinal meningitis, 762
of chronic spinal pachymeningitis, 748
of congestion of cerebral pia mater, 716
of congestion of spinal membranes, 747
of delusional insanity, 169
of diffuse sclerosis, 886
of disseminated sclerosis, 874, 880-883
of external pachymeningitis, 705
of family form of tabes dorsalis, 872
of infantile spinal paralysis, 1132
of insanity, 121
of internal pachymeningitis, 706
of neuritis, 1190
of paralysis agitans, 433
of secondary scleroses, 893
of spastic spinal paralysis, 865
of spina bifida, 759
of spinal meningeal hemorrhage, 755
of tabes dorsalis, 840
of tetanus, 549
of tubercular meningitis, 729

Morbid anatomy and pathology of chronic lead-poisoning, 689
of epilepsy, 488
of writers' cramp, 526

Morbid somnolence, 344

Morphia, use, in acute simple meningitis, 721
in cerebral anæmia, 788
in hysteria, 276
in migraine, 415
in multiple neuritis, 1198
in neuritis, 1194
in spinal sclerosis, 905
in thermic fever, 398, 399
in the treatment of the opium habit, 673, 675
in tumors of the brain, 1068
in vertigo, 427

Morphœa, in progressive unilateral facial atrophy, 695

Morphine habit, 647

Mortality of chorea, 454
of insanity, 125, 126
of tetanus, 553

Motility, disturbances of, in spinal syphilis, 1025

Motion, disorders of, in chorea, 445, 446
in chronic alcoholism, 620
in diffuse spinal sclerosis, 888

Motor paralysis in unilateral paralysis of spinal cord, 1166

Motor symptoms of thermic fever, 391
weakness, in spinal hyperæmia, 803

Motory symptoms of nervous diseases, 42

Multiple and multiple degenerative neuritis, 1195
Diagnosis, 1197
Etiology, 1197
Nature and history, 1195
Pathology, 1196
Prognosis, 1198
Symptoms, 1195
Onset, 1195
Pain, characters, 1195
Paresis and atrophy of muscles, 1196
Sensation, disturbances of, 1195
Treatment, 1198
Electricity, 1198
Morphia, 1198
Salicylate of sodium and iodide of potassium, 1198
Rest, 1198

Multiple cerebro-spinal sclerosis, 873

Muscles, atrophy of, 1267
changes in, in alcoholism, 614
in injuries to peripheral nerves, 1182
degeneration of, in labio-glosso-laryngeal paralysis, 1173
employed in telegraphy, 508, 509
in writing, 505, 506
involved in infantile spinal paralysis, 1121
rigidity of, in paralysis agitans, 435

Muscular ataxia, in general paralysis of the insane, 188, 189, 193
atrophy in chronic spinal pachymeningitis, 749
in nervous diseases, 54
in poisoning by lead, 687, 688
in progressive unilateral facial atrophy, 696, 697
progressive, complicated with infantile spinal paralysis, 1149
contraction, in acute spinal meningitis, 750
system, state of, in the chloral habit, 662
rigidity in diffuse spinal sclerosis, 888

Music, use of, in treatment of catalepsy, 338

Musk, use of, in hysteria, 274

Murmurs, valvular, in chorea, 448

Myelitis, simple acute, 810
Ascending and descending, 816
Clinical history, 816
Diagnosis, 820
Influence of poisons on cord, 815
Limitation of inflammatory process, 816
Myelitic cicatrices, 815
Morbid anatomy, 812
Prognosis and duration, 821
Treatment, 822
Derivation and bloodletting, 823
Electricity, 824
Management of bed-sores, 823
Management of bladder troubles, 824
Position, 822
Rest, 823
Strychnia, 823
Warm baths, 823

Myelitis, chronic, 886
in unilateral spinal paralysis, 1168

Myxœdema, 1271

N.

Narcolepsy, 346

Narcotic poisoning, acute, from alcohol, 597

Narcotics, influence on causation of catalepsy, 319

Narcotics and sedatives, value, in melancholia, 160

Nature of stigmata, 350
of symmetrical gangrene, 1261

Nausea and vomiting in lead colic, 684
in the opium habit, 653, 657-659

Neglect, treatment of hysteria by, 277

Nerve-centres, syphilitic affections of, 999

Nerve-roots, degeneration of, in infantile spinal paralysis, 1138-1140
lesions of, in tabes dorsalis, 840-842

Nerve-section in neuralgia, 1227
in tetanus, 560

Nerve-stretching in athetosis, 460
in neuralgia, 1228
in spinal sclerosis, 903
in writers' cramp, 538

Nerve-trunks, lesions, in multiple neuritis, 1196
in neuritis, 1191

Nerves, inflammation of, 1189
Anatomical changes in divided nerves and muscles, 1184
Changes in, in chronic alcoholism, 619
Diagnosis of, 1187
Divided, pain, seat and characters of, 1185-1187
Electrical reactions in, 1184, 1188
Immediate results of injuries to, 1182
Injuries and irritation of, as a cause of neuralgia, 1220
treatment of, 1189
Lesions of, in neuralgia, 1221
Peripheral diseases of, 1177
Changes in, in chronic alcoholism, 619
Injuries of, 1182
Regeneration and reunion of divided nerves and muscles, 1185
Sensation, disorders of, 1186, 1187
Skin, state of, 1183, 1187
Symptoms of incomplete destruction of, 1185
Trophic disorders, 1187
Vaso-motor, origin of, 1246

Nervous diseases, general semeiology of, 19
disorders of chronic hydrocephalus, 743
of chronic lead-poisoning, 685-689
of spina bifida, 759
of the chloral habit, 663, 665
symptoms of myxœdema, 1272
system, disorders of, in alcoholism, 616
in the opium habit, 656, 658, 659

NERVOUS SYSTEM, LOCALIZATION OF LESIONS IN THE, 65
Cranio-cerebral topography, 93-98
in encephalic mass, 81-93
in systematic lesions, 89
in focal lesions, 89
in base of brain, 91
in cerebellum, 90
in medulla oblongata, 79, 80
in peripheral nervous system, 65-69
in spinal cord, 69-79
of æsthesodic system, 69
of kinesodic system, 71

NERVOUS SYSTEM, GENERAL SEMEIOLOGY OF DISEASES OF, 19
Motory symptoms, 42-54
Psychic symptoms, 19-31
Sensory symptoms, 31-41
Trophic symptoms, 54-59
Principles of diagnosis in diseases of, 59
in functional diseases of, 63
in organic diseases of, 61

NEURALGIA, 1211
Definition, general, of, 1211
Diagnosis and pathology, general, of, 1221
Etiology, general, of, 1216
Age and sex, 1217
Atmospheric and thermic influences, 1219
Constitutional diseases, 1217
Injuries and irritation of nerves, 1219
Reflex and sympathetic causes, 1220
Symptomatology, general, 1211
of migraine, 1216-1230
of superficial neuralgias, 1211
Muscles, spasm and atrophy of, 1213, 1214
Pain, characters and distribution, 1212
Periodicity of attacks, 1212
Points douloureux, 1213
Secreting organs, disorders of, 1213
Sensation, altered, 1214
Skin, disorders of, 1212-1214
Special senses in, 1213
Urine, condition, 1212, 1213
Vision, disorders of, 1213
of visceral neuralgias, 1215
Pain, characters, 1215
Secretion of visceral organs, disorders of, 1215
Treatment, general, 1222
Aconite and aconitia, use, 1224, 1225, 1227
Belladonna and atropia, use, 1224
Change of climate, 1223
Cocaine, use, 1227
Counter-irritation, use, 1226
Diet, 1223
Electricity, use, 1225
Hydropathy, 1226
Hygiene, 1223
Injection of water, chloroform, and other substances, 1229
Iron, arsenic, and cod-liver oil, use, 1224
Massage, 1223, 1229
Neurectomy, 1227
Nerve-stretching, 1228
Opium, use, 1224
Phosphorus and gelsemium, use, 1225
Turpentine, oil of, use, 1229
Use of ammonio-sulphate of copper, salicylate of sodium, tonka,
caffeine, and sal ammoniac, 1229
Varieties, migraine and periodical headache, 1230
Etiology and clinical relations, 1231
Age and sex, 1230, 1231
Prognosis, 1231
Symptoms, 1230
Auras and visual hallucinations, 1230, 1231
Sensation, disorders of, 1230, 1231
Pain, 1230
Treatment of, 1232
Cannabis indica, iodide and bromide of potassium, and caffeine,
1232
Diet, 1232
Electricity, 1232
Nitrite of amyl, 1232

Neuralgias of the fifth nerve, 1232
Anal and rectal neuralgia and uterine and ovarian neuralgia, 1240
Angina pectoris, 1237
Cervico-brachial and brachial neuralgia, 1234
Epileptiform, or tic douloureux, 1233
Facial neuralgia, ordinary, 1232
Treatment, 1234
Gastralgia, 1238
Intercostal neuralgia, 1234
Intermittent neuralgia of the supraorbital, 1233
Lumbo-abdominal neuralgia, 1235
Mammillary neuralgia (irritable breast of Astley Cooper), 1235
Occipito and cervico-occipital neuralgias, 1234
Sciatica, 1235
Treatment, 1236
Visceral neuralgia, 1237

Neuralgia complicating progressive unilateral facial atrophy, 699

Neuralgias in tumors of the brain, 1041

Neuralgic pains in hemiplegia, 956

NEURASTHENIA, definition, 353
Etiology, 354
Symptoms, 354
Digestive disorders, 356
Heart disorders, 356
Muscular strength, loss of, 356
of brain exhaustion, 355
Sensation and special senses, disturbances of, 356, 357
Sexual disorders, 357
Vaso-motor disturbances, 356
Treatment, 357
Change of climate, 358
Rest-cure, method of carrying out, 358, 362

Neurasthenia as a cause of vertigo, 425

Neurasthenic headache, 404

Neuritis, 1189
Etiology, 1190
Diagnosis, 1194
Morbid anatomy, 1190
Symptoms, 1191
Motor, 1192
Pain, characters, 1191, 1193
Reflex paralyses, 1193
Trophic, 1192, 1193
Sensation, altered, 1191, 1192
Treatment, 1194
Counter-irritation in, 1194
Galvanism, 1194
Morphia in, 1194
Salicylate of sodium and iodide of potassium, 1194

Neuritis as a result of neuralgia, 1214

Neuromata, 1208
Definition, 1208
Diagnosis, 1210
Etiology, 1209
Heredity and traumatism, 1209
Nature, varieties, etc., 1208, 1209
Symptoms, 1209
Treatment, 1210
in tumors of the brain, 1048

Neuromimesis, 251, 255, 270-272

Neuro-retinitis in tubercular meningitis, 729
and optic neuritis in tumors of the brain, 1035

Neuroses, trophic, 1266
vaso-motor, 1242

Nickel bromide, use, in epilepsy, 500

Night-terrors, 370

Nitro-glycerin, use, in catalepsy, 338
in epilepsy, 500, 502
in hystero-epilepsy, 311
in migraine, 414
in myxœdema, 1273
in vaso-motor neuroses, 1256

Numbness and formication in nervous diseases, 33
and tingling in hysteria, 256

Nutrition, bad, influence on causation of catalepsy, 319
disturbances of, in chronic lead-poisoning, 682

Nymphomania, 147
in hysteria, 235

Nystagmus in disseminated sclerosis, 877
in family form of tabes dorsalis, 871

O.

Obesity in alcoholism, 615

Occipital neuralgia, 1234

Occupation, influence on causation of alcoholism, 575
of chronic lead-poisoning, 681
of hysteria, 218
of the opium habit, 650

Ocular causes of vertigo, 424

Œdema as a complication of cerebral anæmia, 782
in thrombosis of cerebral veins and sinuses, 986

Olfactory sensory disturbances in nervous diseases, 41

Onset of epileptic fit, mode of, 478
of tetanus, mode of, 549

Opisthotonos in acute spinal meningitis, 750
in hystero-epilepsy, 295, 296, 301
in tetanus, 551
in tetanus neonatorum, 564

Opium, abuse of, as a cause of tremor, 429, 430

OPIUM HABIT AND KINDRED AFFECTIONS, 647
_Cannabis indica, Habitual Addiction to_, 667
Treatment, 668, 677
_Chloral Habit, the_, 660
Diagnosis, 665
Etiology and synonyms, 661
Prognosis, 666
Prophylaxis, 668-670
Symptoms, 661
Circulatory, digestive, and respiratory disorders, 661, 662
Genito-urinary disorders, 662, 663
Muscular system, disorders of, 662
Nervous system, disorders of, 663, 664
of abrupt discontinuance of drug, 665
Psychical derangements, 664
Skin, disorders of, 663
Treatment, 668, 676
Curative, 666, 667
_Chloroform, Habitual Addiction to_, 667
Treatment, 668, 677
_Cocaine, Habitual Addiction to_, 667
Treatment, 668, 677
_Ether, Habitual Addiction to_, 667
Treatment, 668, 677
_Opium Habit, the_, 647
Diagnosis, 659
Etiology, 649
Age, sex, occupation, and luxurious habits, influence on
causation, 650
Exciting causes, 652
Insanity, influence on causation, 651
Predisposing causes, 649
History, 647
Prognosis, 660
Prophylaxis, 668-670
Symptoms, 653
Digestive, 653, 654, 658
Genito-urinary disorders, 654, 658
Nervous system, derangements of, 658, 659
of chronic poisoning, 653
of withdrawal of drug, 657-659
Physiognomy in, 654
Respiratory and circulatory disorders, 654
Sexual disorders, 656, 658
Temperature in, 657
Synonyms, 648
Treatment, 668
Abrupt withdrawal of drug, Levinstein's method, 672-674
Alcohol and stimulants, use of, 673-675
Baths, use, 674-676
Bromides, chloral, lupulin, and paraldehyde, use of, 673, 674,
676
Coca, cocaine, and cannabis indica, use of, 676
Curative, 670
Diet in, 673, 675
Gradual diminution of drug, 674-676
of digestive disorders, 672-674
of nervous symptoms and insomnia, 673, 675, 676
Opium, use of, 673, in, 675
Removal from home, question of, 670, 671
_Paraldehyde, Habitual Addiction to_, 666
Treatment, 668, 677

Opium, use of, in hysteria, 278
in insomnia, 380-382
in lead colic, 691
in melancholia, 160
in neuralgia, 1224
in spinal concussion, 916
in symmetrical gangrene, 1262
in tetanus, 577
in the treatment of the morphia habit, 673, 675
in tubercular meningitis, 736
physiological action of, 652

Ophthalmoscopic appearances in cerebral anæmia, 787
in cerebral hyperæmia, 770
examination in tumors of the brain, 1035

Optic nerve, atrophy of, in disseminated sclerosis, 879
in tabes dorsalis, 834

Optic sensory disturbances in nervous diseases, 39, 40

Oöphorectomy, question of, in hysteria, 287
in hystero-epilepsy, 312

Organic headache, 403
Mental diseases, 176
Nervous diseases, diagnosis of, 61-63

Osmic acid, hypodermic use, in neuralgia, 1229

Osteomata in tumors of the brain, 1049

Osteo-myelitis, as a cause of cerebral abscess, 799

Ovarian neuralgia, 1240
pressure, effect of, in hystero-epilepsy, 298, 299

Over-exertion as a cause of disseminated sclerosis, 884
of spinal hyperæmia, 802

Over-study, influence on causation of chorea, 441

Over-work, influence on causation of cerebral hyperæmia, 354
of neurasthenia, 354

Oxygen, inhalations in vaso-motor neuroses, 1256

P.

Pacchionian bodies, seat and nature, in brain tumors, 1050

Pachymeningitis, 703
Acute spinal, 747
Chronic spinal, 748
External, 704
Hemorrhagic, 707
Internal, 706

Pain, in angina pectoris, 1237, 1238
in cerebral syphilis, 1005
in diffuse spinal sclerosis, 889
in disseminated sclerosis, 874
in family form of tabes dorsalis, 871
in gastralgia, 1238, 1239
in hysteria, 250
in injuries of peripheral nerves, 1185-1187
in intercostal neuralgia, 1234
in lead colic, 683
in hyperæmia of the brain, 770
in migraine, seat, characters, and origin of, 408, 412, 1230
in multiple neuritis, 1195
in nervous diseases, varieties of, 33-35
in neuritis, 1191
in neuromata, 1210
in sciatica, 1235
in spinal syphilis, 1025
in superficial neuralgia, 1212
in symmetrical gangrene, 1258-1260
in writers' cramp, 519
Influence on causation of the opium habit, 649
Seat and character, in acute spinal meningitis, 750
spinal pachymeningitis, 747
in chronic spinal meningitis, 753
spinal pachymeningitis, 749
in external pachymeningitis, 705
in spinal meningeal hemorrhage, 754
in tabes dorsalis, 828
in tubercular meningitis, 725, 726
in tumors of the brain, 1033, 1034
in tumors of the spinal cord, 1091-1093

Pain-sense in tabes dorsalis, 833

Painters' colic, 683

Palsy, lead, 685

Pancreas, changes in, in chronic alcoholism, 602

Paracentesis in chronic hydrocephalus, 745
of the sac in spina bifida, 761

Paræsthesia, hysterical, 250
in migraine, 1230, 1231
in nervous diseases, general, 33
in progressive unilateral facial atrophy, 696
in spinal syphilis, 1025
in spinal hyperæmia, 802

Paralalia, 571

Paraldehyde, habitual addiction to, 666
use, in alcoholism, 641, 642, 645, 646
in the opium habit, 674, 676

PARALYSIS AGITANS, 433
Diagnosis, 438
Etiology and morbid anatomy, 437
Symptoms, 434
Synonyms, 433
Treatment, 438

Paralysis, alcoholic, 621
atrophic, of infants, 1113
cerebral, 917
festinans, 436
hysterical, 237
in acute myelitis, 816, 817
in acute spinal meningitis, 750
in atrophy of the brain, 994
in cerebral hemorrhage, 939, 954
meningeal hemorrhage, 712
syphilis, 1007-1010
in chorea, 447
in chronic hydrocephalus, 743
spinal pachymeningitis, 749
in encephalitis, 791
in hæmatoma of the dura mater, 708
in infantile spinal paralysis, 1118, 1123
in nervous diseases, definition of, 42-44
in spina bifida, 759
in the chloral habit, 664
in tubercular meningitis, 727
in thrombosis of cerebral veins and sinuses, 986
in tumors of the brain, 1040
of the spinal cord, 1091, 1093
Labio-glosso-laryngeal, 1169
Localized, in nervous diseases, 44
of chronic lead-poisoning, 685
of the insane, general, 176
Spinal spastic, 861
Spinal unilateral, 1165
Stage of, in writers' cramp, 518

Paraplegia, hysterical, 238
in acute myelitis, 817
in nervous diseases, 43
in tumors of spinal cord, 1093

Paraplegic spasm in nervous diseases, 46

Paresis in general paralysis of the insane, 189
and paralysis in multiple neuritis, 1196

Paretic dementia of alcoholism, 633

Paroxysms of epilepsy, characters of, 478
of hystero-epilepsy, characters, 293, 304, 306
of vertigo, characters, 417

Patellar reflex, alterations of, in acute myelitis, 818
in amyotrophic lateral sclerosis, 868
in chorea, 448
in diffuse sclerosis, 888
in disseminated (cerebro-spinal) sclerosis, 875
in epilepsy, 481
in general paralysis of the insane, 195
in hemiplegia, 962
in spastic spinal paralysis, 862
in spinal syphilis, 1025
in tabes dorsalis, 829, 835, 857, 858
in tumors of the spinal cord, 1092
significance in diagnosis of hysteria, 265, 266
tendon reflex in nervous diseases, 52

Pathogenesis of vaso-motor neuroses, 1251
of infantile spinal paralysis, 1114

Pathological action of alcohol, 586
anatomy of acute alcoholism, 595

Pathology of athetosis, 460
of brain syphilis, 1014
of diseases of cervical sympathetic, 1263
of catalepsy, 334
of chorea, 450
of chronic hydrocephalus, 744
lead-poisoning, 689
of hysteria, 208
of hystero-epilepsy, 291
of insanity, 121
of neuralgia, 1221
of progressive unilateral facial atrophy, 699
of tremor, 431
of tubercular meningitis, 729
of tumors of brain, 1046
of spinal cord, 1096
and morbid anatomy of atrophy of the brain, 995
of general paralysis of the insane, 196
of hæmatoma of the dura mater, 708
of hypertrophy of the brain, 996
of labio-glosso-laryngeal paralysis, 1172
of migraine, 410
of multiple neuritis, 1196
of spina bifida, 759
of unilateral spinal paralysis, 1167

Perforating ulcer of the foot, 1273

Periodic insanity, 150

Periodicity of attacks of migraine, 407
of neuralgias, 1212

Peripheral causes of epilepsy, 475
nerves, diseases of, 1176
injuries of, 1182
nervous system, localization of lesions in, 65

Pernicious anæmia, cerebral symptoms in, 779

Petit mal, symptoms of, 477

Phantom tumors, in hysteria, 288

Phosphorus, use, in neuralgia, 1225
in paralysis agitans, 438
in sequelæ of intracranial hemorrhage, 978

Photophobia in cerebral hyperæmia, 772

Phthisis, influence of alcoholism on production of, 609
of neuralgia, 1218
relation of, to hysteria, 214
to mental diseases, 119, 142

Physicians, responsibility of, in the formation of the opium habit,
649, 668

Physiognomy of acute alcoholism, 588
of acute simple meningitis, 717, 718
of delirium tremens, 628
of labio-glosso-laryngeal paralysis, 1170
of the opium habit, 654
of tubercular meningitis, 725-727

Physiological action of alcohol, 580

Physiology of dreams, 370
of spastic spinal paralysis, 865
of speech, 567
of tabes dorsalis, 840
of the vaso-motor neuroses, 1242

Pia mater, cerebral, chronic inflammation of (chronic cerebral
meningitis), 721
Congestion of, 715
Symptoms, morbid anatomy, and treatment, 716
Inflammation of (acute leptomeningitis), 716
Diagnosis and pathological anatomy, 719
Duration and course, 718
Etiology and synonyms, 716
Prognosis, 720
Symptoms, 717
Treatment, 720
Bleeding in, 720
Counter-irritation, use, 721
Diet in, 721
Morphia, chloral, bromides, etc., use in, 721
Quinia, use in, 721

Pigment-scales and flakes, as a cause of capillary embolism, 988

Pilocarpine, use, in myxœdema, 1273

Piscidia, use, in alcoholism, 645

Pleuræ, disorders of, in chronic alcoholism, 610

Pneumonia, in alcoholism, 609

Points douloureux, in neuralgia, 1213

Poisoning of blood, influence on causation of infantile paralysis,
1151

Polyneuritis, 1195

Polyuria in cerebral syphilis, 1009
in hemiplegia, 961
in tumors of the brain, 1044

Porencephaly, 777

Position, influence of, in cerebral anæmia, 780

Post-epileptic aphasia, 481

Post-febrile insanity in cerebral anæmia, 786

Post-mortem examination, methods of, in tumors of the brain, 1050

Post-paralytic chorea, 447

Posterior columns, lesions of, in tabes dorsalis, 840-847

Posterior spinal sclerosis, 826

Pregnancy, influence, on causation of chorea, 444
on recovery from epilepsy, 498
Simulation of, in hysteria, 254

Pregnant women, occurrence of hysteria among, 221

Preputial irritation as a cause of epilepsy, 473

Prevalence of insanity, 110

Prevention of insanity, 137
of intracranial hemorrhage, and apoplexy, 974
of tetanus neonatorum, 565

Priapism in tumors of spinal cord, 1096

Prodromal symptoms of acute simple meningitis, 717
of tubercular meningitis, 725

Prodromata of acute myelitis, 821
of disseminated sclerosis, 874
of epilepsy, 475
of general paralysis of the insane, 178
of infantile spinal paralysis, 1115
of intracranial hemorrhage and apoplexy, 944-946

Prognosis of acute simple meningitis, 720
spinal meningitis, 751
spinal pachymeningitis, 748
of alcoholism, 639
of amyotrophic lateral sclerosis, 869
of apoplexy, cerebral hemorrhage, etc., 972
of athetosis, 460
of catalepsy, 337
of cerebral abscess, 799
of cerebral meningeal hemorrhage, 715
syphilis, 1013
of chorea, 453
of chronic hydrocephalus, 744
lead-poisoning, 684, 687, 689
spinal meningitis, 753
of constitutional affective mental disease, 142
of diffuse spinal sclerosis, 890
of ecstasy, 343
of epilepsy, 496
of external pachymeningitis, 706
of general paralysis of the insane, 200
of hæmatoma of the dura mater, 709
of hypertrophy of the brain, 799
of hysteria, 272
of hysterical insanity, 149
of hystero-epilepsy, 310
of hypochondriasis, 155
of infantile spinal paralysis, 1150
of insanity, 125
of labio-glosso-laryngeal paralysis, 1169
of melancholia, 159
of migraine, 410, 1231
of multiple neuritis, 1198
of peripheral anæsthesia, 1201
of primary delusional insanity, 152
of progressive unilateral facial atrophy, 702
of spina bifida, 761
of spinal concussion, 916
of spinal meningeal hemorrhage, 755
of symmetrical gangrene, 1262
of tetanus, 553
of tetanus neonatorum, 565
of the chloral habit, 666
of the opium habit, 660
of thrombosis of cerebral veins and sinuses, 988
of torticollis, 464
of tremor, 431
of tubercular meningitis, 735
of tumors of the brain, 1066
of the spine, 1106
of unilateral spinal paralysis, 1168
of vaso-motor neuroses, 1255
of vertigo, 418
of writers' cramp, 530

Progressive muscular atrophy in chronic lead-poisoning, 688

PROGRESSIVE UNILATERAL FACIAL ATROPHY, 693
Definition, synonyms, and history, 693
Diagnosis, 700
Duration, termination, and complications, 699
Etiology, 693
Symptoms, 694
Atrophy, seat and characters, 696, 697
Perspiration, modifications of, 696
Pulsation of carotids, weakness of, 696
Sensation, modifications of, 696
Skin and hair, changes in, 695
Special senses, state of, 697
Temperature of affected parts, 696
Treatment and prognosis, 702

Prophylaxis of abscess of the brain, 801
of alcoholism, 640, 642
of cerebral hemorrhage and apoplexy, 974
of chronic lead-poisoning, 690
of hysteria, 274
of the chloral habit, 668
of the opium habit, 668
of thermic fever, 396
of thrombosis of cerebral veins and sinuses, 988
of tubercular meningitis, 735
of writers' cramp, 530

Propulsion in paralysis agitans, 436

Psammomata in tumors of the brain, 1049

Pseudo-paralysis in nervous diseases, 44

Psychic causes of epilepsy, 472
symptoms of nervous diseases, 19

Psychical derangements of chronic alcoholism, 264
of the chloral habit, 664
symptoms of syphilis of the brain-cortex, 1017 _et seq._

Psycho-neuroses (see _Mental Diseases_, 153).

Ptosis, hysterical, 238
in tabes dorsalis, 830

Puberty, influence on causation of catalepsy, 318
of migraine, 407, 411
influence on cerebral anæmia, 778

Puerperal insanity, 173
tetanus, 562

Pulmonary consumption, relation to mental diseases, 119, 142

Pulsation of carotids, weakness of, in progressive unilateral facial
atrophy, 696

Pulse, state of, in acute alcoholism, 587, 588, 593
in acute simple meningitis, 717, 718
in acute spinal meningitis, 750
in catalepsy, 321
in cerebral anæmia, 784
in cerebral hemorrhage and apoplexy, 938
in chorea, 449
in concussion of the brain, 909
in epilepsy, 480
in hæmatoma of the dura mater, 708
in hysteria, 252
in migraine, 409, 411, 412
in tetanus, 551
in the chloral habit, 662
in the opium habit, 654, 657, 659
in thermic fever, 391
in tubercular meningitis, 726-728
and respiration in delirium tremens, 629

Pupils, dilatation of, in migraine, cause of, 411
hysterical dilatation of, 248
in acute simple meningitis, 717
in cerebral anæmia, 775
in chronic hydrocephalus, 741
in concussion of the brain, 909
in diseases of the cervical sympathetic, 1264
in disseminated sclerosis, 879
in epileptic fit, 480
in general paralysis of the insane, 195
in tabes dorsalis, 829, 830
in tubercular meningitis, 727, 729
loss of reflex of, in nervous diseases, 40, 51

Pus, characters of, in abscess of the brain, 793

Pyramidal tract, derangements of, in amyotrophic lateral sclerosis,
867

Pyromania, 147

Q.

Quinia, use of, in acute simple meningitis, 721
in alcoholism, 642, 643, 645, 646
in chronic lead-poisoning, 691
in intermittent neuralgia of supraorbital, 1233
in labio-glosso-laryngeal paralysis, 1175
in migraine, 414
in neuralgia, 1224
in paralysis agitans, 438
in sciatica, 1236
in spinal meningeal hemorrhage, 756
in thermic fever, 398
in vertigo, 427

R.

Race, influence on causation of chorea, 444
of hysteria, 217
of hystero-epilepsy, 291
of thermic fever, 389

Railway sickness, 426

Rectum, hysterical disorders of, 240

Reflex causes of epilepsy, 472
of neuralgia, 1220
irritability, changes in, in catalepsy, 321
irritation as a cause of catalepsy, 318
of chorea, 444
movements, abnormal, in nervous diseases, 50
of patellar tendon in nervous diseases, 52
paralyses in spinal anæmia, 806
paralysis in neuritis, 1193

Reflexes, active, in spinal hyperæmia, 802
exaggerated, in spinal syphilis, 1026
in acute spinal myelitis, 818
in amyotrophic lateral spinal sclerosis, 868
in chorea, 448
in combined forms of sclerosis, 870
in diffuse sclerosis, 888
in disseminated sclerosis, 875, 877
in hemiplegia, 962
in spastic spinal paralysis, 862
in tabes dorsalis, 835
in tumors of the brain, 1041
of the spinal cord, 1092, 1094
tendinous in epilepsy, 481
vaso-motor, 1248

Religious feeling, extreme, as a cause of ecstasy, 34

Remissions in general paralysis of the insane, 194
in tubercular meningitis, 727

Respiration, artificial, in cerebral hemorrhage, 976
in acute spinal meningitis, 750
in anæmia of the brain, 777
in catalepsy, 321
in cerebral hemorrhage and apoplexy, 935
in concussion of the brain, 909
in labio-glosso-laryngeal paralysis, 1171
in the chloral habit, 662
in thermic fever, 390, 391, 395
in tubercular meningitis, 728
in tumors of the brain, 1044

Rest, value of, in apoplexy, 975
in concussion of the brain, 911
in hyperæmia of the spine, 804
in melancholia, 160
in myelitis, acute, 823
in neuritis, 1194
in symmetrical gangrene, 1261
in writers' cramp, 533
in vaso-motor neuroses, 1255
and quiet, value in general paralysis of the insane, 201

Rest-cure, value of, in hysteria, 279
in migraine, 413
in neurasthenia, 358, 362

Retropulsion in paralysis agitans, 436

Reynaud's disease, 1257

Rheumatic headache, 403

Rheumatism, influence on causation of chorea, 442, 452
of meningitis, acute, 716

Rigidity in hemiplegia of intracranial hemorrhage and apoplexy, 962

Rigors in acute simple meningitis, 717
spinal meningitis, 750

Romberg symptoms of tabes dorsalis, 830

S.

Salaam convulsions, 463

Salicylate of sodium, use, in acute simple meningitis, 721
in neuralgia, 1229
in neuritis and multiple neuritis, 1194, 1198

Sarcomatous tumors of the brain, 1048

Satyriasis, 147

Scarlatina, influence on causation of chorea, 443

Schistorachis, 757

Sciatica, 1235 (see _Neuralgia_).

Scleroses, secondary, of spinal cord, 892

Sclerosis of crossed pyramidal tracts as a cause of spastic spinal
paralysis, 865
Amyotrophic lateral spinal, 867
Definition, 867
Duration, 868
Morbid anatomy, 867
Prognosis, 869
Symptoms, 868
Combined forms of spinal, 869
Diffuse, 886
Morbid anatomy, 886
Prognosis, 890
Symptomatology, 888
Disseminated (cerebro-spinal), 873
Diagnosis, 885
Etiology, 883
Morbid anatomy, 874, 880-883
Symptoms, 874
Posterior spinal, 826
Treatment of, 898
Climate, 903
Cold baths, 903
Cold douches, 903
Ergot in early stages, 901
Faradic wire brush, 904
Galvanism, 901
Hot Springs, 900
Management of special symptoms and complications, 905
Mercury, 900
Mixed treatment, 899
Moral treatment, 906
Nerve-stretching, 903
Nitrate of silver, 901
Peripheral treatment, 902
Static electricity, 906
Tremors of sclerotic affections, 905

Sclerotic process in tabes dorsalis, 842-847
in general paralysis of the insane, 197

Scrofulosis, influence on causation of chronic hydrocephalus, 741
of tubercular meningitis, 724

Scoliosis in infantile spinal paralysis, 1131

Sea-bathing, use, in hysteria, 283

Sea-sickness, 426

Season, influence on causation of chronic lead-poisoning, 679
of hyperæmia of the brain, 765
of intracranial hemorrhage and apoplexy, 931
of tubercular meningitis, 725

Secretions, altered, in diseases of cervical sympathetic, 1265
in nervous diseases, 59

Sedatives and narcotics, use of, in insanity, 135, 136

Self-concentration, relation to trance and ecstasy, 347

Self-deception of hysterical patients, 233

Semeiology, general, of nervous diseases, 19

Senile dementia, 173
insanity, 174

Sensation, disturbances of, in catalepsy, 321
in chronic lead-poisoning, 686, 687
in hemiplegia, 955
in injuries to peripheral nerves, 1182, 1185, 1186
in multiple neuritis, 1195
in the chloral habit, 664
in tumors of the brain, 1042
of the spinal cord, 1091, 1092
Modifications of, in acute myelitis, 817-819
spinal meningitis, 750
pachymeningitis, 747
in cerebral atrophy and hypertrophy, 942
syphilis, 1008
in chronic spinal meningitis, 753
pachymeningitis, 749
in neuritis, 1191-1193
in neuromata, 1210
in progressive unilateral facial atrophy, 696
in symmetrical gangrene, 1259
in tabes dorsalis, 829, 832
Perversion of, in delirium tremens, 628
in diffuse spinal sclerosis, 889
in spinal hyperæmia, 802
meningeal hemorrhage, 752
syphilis, 1025

Senses, special, disorders of, in alcoholism, 622
in cerebral anæmia, 783
in cerebral hemorrhage and apoplexy, 942
in cerebral hypertrophy and atrophy, 995
in nervous diseases, 39
in neuralgia, 1213
in neurasthenia, 356
in progressive unilateral facial atrophy, 697
in symmetrical gangrene, 1266

Sensibility, alterations of, topographical distribution in nervous
diseases, 37-39
Disorders of, in chronic alcoholism, 619
in chorea, 448
Loss of, in nervous diseases, 35-37

Sensorial affections of hysteria, 246
of special senses, in nervous diseases, 39

Sensory disturbances in cerebral anæmia, 783
epilepsy, 483, 486
symptoms of nervous diseases, 31

Sequelæ of thermic fever, 399

Serous apoplexy, 783

Sex, influence on causation of acute spinal meningitis, 450
of catalepsy, 318
of cerebral anæmia, 778
hyperemia, 765
of chorea, 441
of chronic lead-poisoning, 680, 686, 688
of disseminated (cerebro-spinal) sclerosis, 883
of ecstasy, 342
of epilepsy, 470
of family form of tabes dorsalis, 871
of general paralysis of the insane, 177
of hæmatoma of the dura mater, 707
of hysteria, 215
of hystero-epilepsy, 291
of intracranial hemorrhage and apoplexy, 929
of migraine, 406, 1231
of myxœdema, 1271
of neuralgia, 1217
of paralysis agitans, 437
of progressive unilateral facial atrophy, 694
of simple acute meningitis, 716
of tabes dorsalis, 852
of tetanus, 544
of the choral habit, 661
of the opium habit, 650
of tubercular meningitis, 725
of tumors of the brain, 1029
spinal cord, 1090
of writers' cramp, 512

Sexual disorders, of chronic alcoholism, 614
of hyperæmia of the brain, 778
of neurasthenia, 357
of the opium habit, 656, 658
of tumors of the spinal cord, 1096
excess, as a cause of spastic spinal paralysis, 864
of spinal hyperæmia, 802
of tabes dorsalis, 851, 852
of vertigo, 420
excitement, as a cause of ecstasy, 342
function, in general paralysis of the insane, 195
in tabes dorsalis, 834
instincts, perverted, in insane temperament, 146, 148, 161
irritation, as a cause of hysteria, 221
of reflex paralysis, 807
perversions, in general paralysis of the insane, 179, 180

Shaking palsy, 433

Sick headache, 406, 1216, 1230

Silver, use of, in hemiplegia, 978
in labio-glosso-laryngeal paralysis, 1175
in spastic spinal paralysis, 901

Simulation of sleep, 775

Simulations of hysterical patients, 230, 233-235

Skin, atrophy of, changes in, in injuries to peripheral nerves, 1183,
1185, 1186, 1187
Condition of, in neuralgia, 1212, 1213
Disorders of, in chronic alcoholism, 615
in hysteria, 234
in myxœdema, 1272
in neuritis, 1192
in progressive unilateral facial atrophy, 695
in tabes dorsalis, 837
in the chloral habit, 663
in the opium habit, 654, 658
in vaso-motor neuroses, 1252-1254

SLEEP, AND ITS DISORDERS, 363
Apparent death, test of, 385
Circulation of blood in, 774, 775
Brain, state of, during sleep, 367
Coma, 382
Disorders of, in cerebral anæmia, 782, 783
Hyperæmia, 769
Syphilis, 1000
Dreams, physiology of, 368, 369
Effect of, on choreic movements, 445
Hypotheses concerning nature of sleep, 364-366
Insomnia, 379
in the opium habit, 655
Febrile form of, 380
from active cerebral congestion, 382
from exhaustion, 380-382
Lithæmic form of, 379
Treatment, 380, 381, 382
Lethargy, 384
Lucid, 386
Night-terrors, 370
Sleeping dropsy, 383
Somnambulism, 371
Treatment, 378

Sleeping dropsy, 383

Smell, disorders of, in alcoholism, 623
in hemiplegia, 955
in neuralgia, 1213
in tumors of the brain, 1030, 1043
and taste, perversion of, in hysteria, 250

Social condition, influence on causation of chorea, 441
of hysteria, 218
of insanity, 117, 118

Sodium bromide, use, in epilepsy, 500

Softening of the brain, 917, 949, 989
Red and yellow, in abscess of the brain, 793
of the cord in acute spinal myelitis, 812
in spinal hemorrhage and embolism, 809, 810

Somnambulism, 371
Artificial, 373

Somnolence, morbid, 344
in tubercular meningitis, 726, 727

Spasm and twitching of muscles in tumors of spinal cord, 1091, 1094
characters and seat in writers' cramp, 515
Painless facial, 462

Spasms, general, in hysteria, 236
in neuritis, 1192
in tetanus, characters, 549, 550
Local, in hysteria, 244
in tumors of the brain, 1038
Varieties, in nervous diseases, 44-47

Spastic spinal paralysis, 861

Specific poisons, insanity from, 175

Speech, development of, 566

SPEECH, DISORDERS OF, 566
Classification, 568
Alalia, 569
Treatment, 570
Dyslalia, or stuttering, 572
Treatment, 572
Paralalia, or stammering, 571
Treatment, 571

Speech, disorders of, in amyotrophic lateral spinal sclerosis, 875,
876
in Bell's palsy, 1203
in cerebral hemorrhage and apoplexy, 941
in chorea, 445, 448
in disseminated (cerebro-spinal) sclerosis, 875, 876
in hemiplegia, 957-960
in labio-glosso-laryngeal paralysis, 1171
in paralysis agitans, 455
in the opium habit, 655, 658
in tumors of the brain, 1038
Physiology of, 567

SPINA BIFIDA, 757
Definition, etiology, history, and synonyms, 757
Diagnosis, 760
Pathology and morbid anatomy, 759
Prognosis, 761
Symptoms, 758
Treatment, 761
Excision and ligation, 762
Injection of iodine, 762
Paracentesis, 761

Spinal anæmia, 805
Treatment, 808
cord, affections of, chronic, inflammatory, and degenerative, 825
and its envelopes, tumors of, 1090
Disease of one lateral half of, 1165
Definition, 1166
Diagnosis, 1168
Prognosis, 1168
Symptoms, 1166
Anæsthesia, 1166, 1167
Paralysis, seat, 1166, 1167
Synonyms, 1165
Treatment, 1168
Diseases of membranes of, 703, 746
Embolism, thrombosis, hemorrhage, and abscess of, 808
Etiology, 809
Morbid anatomy of, 809, 810
Symptoms of, 809
Treatment, 809
Localization of lesions in, 69
Lesions of, in alcoholism, 622
in tabes dorsalis, 840
in tetanus, 549
disorders in alcoholism, 619
dura mater, acute inflammation of, 747
Diagnosis and prognosis, 748
Morbid anatomy, symptoms, and treatment, 748
Chronic inflammation of, 748
exhaustion, 802
hyperæmia, 801
inflammation, 802
Irritation, 802
Etiology, 802
Hysterical, 252
Passive, 802
Symptomatology, 802
Treatment, 804
Ergotin, 805
Local bloodletting, 805
Rest, 804
membranes, congestion of, 746
Etiology, 746
Symptoms, morbid anatomy, and treatment, 747
Inflammation and hemorrhage of, 746
meningeal hemorrhage, 754
Diagnosis and prognosis, 755
Pathological anatomy, 755
Synonyms, etiology, and symptoms, 754
Treatment, 756
meningitis, acute, 749
Diagnosis and prognosis, 751
Etiology and synonyms, 749
Morbid anatomy and symptoms, 750
Treatment, 751
Chronic, 752
Diagnosis, prognosis, and treatment, 753
Symptoms and synonyms, 752
Myelitis, acute, 810
Paralysis, spastic, 861
Sclerosis, posterior, 826
Syphilis (see _Syphilitic Affections of the Nerve-centres_).

Spine, concussion of, 912
Diagnosis, 916
Prognosis, 916
Symptoms, 915
Treatment, 916

Spirits, characters of intoxication from, 591

Spleen, changes in, in chronic alcoholism, 607

Springs, Hot, value of, in spinal sclerosis, 900

Staggering, significance, in nervous diseases, 49
in tabes dorsalis, 831

Stammering, 571

Starvation as a cause of cerebral anæmia, 781
condition of brain in, 781, 782

Status epilepticus, prognosis of, 498
Vertiginosus, the, 426
Treatment of, 428

Stigmatization, 348-351
Theories concerning origin, 350

Stimulants, use, in heat-exhaustion, 388
in collapse in opium habit, 673, 675
in thermic fever, 397

Stomach, disorders of and changes in, in chronic alcoholism, 600

Strabismus in chronic hydrocephalus, 743
in tubercular meningitis, 727

Strychnia, use, in alcoholism, 641, 643, 646
in chorea, 455
in infantile spinal paralysis, 1157
in intracranial hemorrhage and apoplexy, 978
in labio-glosso-laryngeal paralysis, 1175
in paralysis agitans, 438
in spinal hyperæmia, 805
in writers' cramp, 538
Myelitis, acute, 822, 823

Stupor in tubercular meningitis, 727, 728
Melancholia with, 158

Stuttering, 569, 571

Suicidal insanity, 146
tendency, in general paralysis of the insane, 191

Sumbul, use, in hysteria, 278

Sun, exposure to, as a cause of acute meningitis, 716

Sunstroke (see _Thermic Fever_).
headache from, 390, 404
Influence on causation of cerebral hyperæmia, 764

Superficial neuralgia, 1211

Supposed discharge as a cause of cerebral hyperæmia, 766
of spinal hyperæmia, 802

Supraorbital nerve, intermittent neuralgia of, 1233

Surgical treatment of abscess of the brain, 800
of facial neuralgia, 1234
of tumors of the brain, 1067

Sweating, absence of, in progressive unilateral facial atrophy, 696
in the opium habit, 657, 658

Swedish movement, use, in hysteria, 280
in infantile spinal paralysis, 1157

Sympathetic cervical, diseases of, 1263
headache, 404
neuralgias, 1220

Symmetrical gangrene, 1257

Symptoms of abscess of the brain, 795
of acute alcoholism, 587 _et seq._
of acute cerebral anæmia, 776, 782
of acute myelitis, 816
of acute simple meningitis, 717
of acute spinal meningitis, 750
pachymeningitis, 747
of amyotrophic lateral sclerosis, 868
of angina pectoris, 1238
of apoplexy, 733
of athetosis, 459
of atrophy of the brain, 994, 995
of Bell's palsy, 1203
of capillary embolism, 981
of catalepsy, 320
of cerebral anæmia, 782
of cerebral hyperæmia, 768
of cerebral meningeal hemorrhage, 712
of cerebral softening, 981, 989
of cerebral syphilis, 1003
of chorea, 445
of chronic alcoholism, 598-633
of chronic cerebral meningitis, 721
of chronic hydrocephalus, 741
of chronic lead-poisoning, 682
of chronic spinal meningitis, 752
of chronic spinal pachymeningitis, 749
of combined forms of sclerosis, 870
of concussion of the brain, 908
of concussion of the spine, 915
of congestion of cerebral dura mater, 704
of spinal membranes, 747
of the pia mater, 716
of delirium tremens, 627
of diffuse spinal sclerosis, 888
of disease of cervical sympathetic, 1264
of disseminated (cerebro-spinal) sclerosis, 874
of ecstasy, 342
of epilepsy, 477
of external pachymeningitis, 704
of family form of tabes dorsalis, 871
of gastralgia, 1238
of general paralysis of the insane, 178
of hæmatoma of dura mater, 707
of headache, 402
of heat-exhaustion, 387
of hebephrenia, 172
of hypertrophy of the brain, 944-946
of hypochondriasis, 154
of hemiplegia, 954
of hypertrophy of the brain, 99
of hysteria, 229
of hystero-epilepsy, 293
of infantile spinal paralysis, 1114
of inflammation of the brain, 791
of injuries to nerves, 1183, 1185, 1186
of insanity, 120
of insomnia, 379-382
of intermittent neuralgia of supraorbital, 1233
of internal pachymeningitis, 706
of intracranial hemorrhage and apoplexy, 733
of labio-glosso-laryngeal paralysis, 1170
of melancholia, 155, 156
of migraine, 407, 1230
of moral insanity, 143-146
of multiple neuritis, 1195
of myxœdema, 1272
of nervous diseases, motory, 42
psychic, 19
sensory, 31
trophic, 54-59
of neuralgia, 1213
of neurasthenia, 354
of neuritis, 1191
of neuromata, 1209
of occlusion of cerebral vessels, 952
of painless facial spasm, 462
of paralysis agitans, 433
of primary insanity, 152
of progressive unilateral facial atrophy, 694
of sciatica, 1235
of secondary scleroses, 987
of spastic spinal paralysis, 862
of spina bifida, 757
of spinal hemorrhage, 809
hyperæmia, 802
meningeal hemorrhage, 754
syphilis, 1024
of symmetrical gangrene, 1258
of tabes dorsalis, 827
of tetanus, 549
of the chloral habit, 661
of the insane temperament, 140, 141
of the opium habit, 653
of thermic fever, 389
of Thomsen's disease, 461
of thrombosis of cerebral veins and sinuses, 986
of torticollis, 464
of trance, 344
of tremor, 430
of tubercular meningitis, 725
in the adult, 737
of tumors of the brain, 1030
of the spinal cord, 1091
of unilateral spinal paralysis, 1166
of vertigo, 416
of visceral neuralgia, 1215
of writers' cramp, 514

Syncope in cerebral anæmia, 790
Treatment of, 790

Syncoptic seizures in cerebral anæmia, 783

Syphilis as a cause of disseminated sclerosis, 886
of epilepsy, 471
of general paralysis of the insane, 178
of insanity, 119
of spinal meningitis, acute, 749
of tabes dorsalis, 852
of tumors of the brain, 1028