Section Iii. Puzzles and Errors in the Diagnosis of Neurosyphilis

(INCLUDING NON-SYPHILITIC CASES). CASES 39–82 165

CASE

39. Paretic versus diffuse neurosyphilis. Autopsy 165

40. Paretic versus vascular neurosyphilis, cerebellar. Autopsy 169

41. Paretic versus vascular neurosyphilis, cerebellar. Autopsy 172

42. Tabetic combined with vascular neurosyphilis. Autopsy. 175

43. Tabetic neurosyphilis: mental symptoms, non-paretic. Autopsy 177

44. Cerebral gliosis. Autopsy 180

45. Neurasthenia versus neurosyphilis 183

46. Hysteria. Neurosyphilis of the secondary period 185

47. Manic-depressive psychosis versus paretic neurosyphilis 187

48. Cerebral tumor 190

49. Early post-infective paretic neurosyphilis 192

50. Atypical paretic neurosyphilis, hemitremor. Autopsy 197

51. Paretic neurosyphilis. Autopsy 199

52. Manic-depressive psychosis versus paretic neurosyphilis 202

53. Syphilitic(?) exophthalmic goitre. Autopsy 205

54. Argyll-Robertson pupils 209

55. Argyll-Robertson pupils: pineal tumor. Autopsy 212

56. Neurosyphilis(?) with negative spinal fluid 216

57. Disseminated syphilitic encephalitis, seven months post-infective. Autopsy 218

58. “Pseudoparesis” 222

59. Syphilitic paranoia? 225

60. Paretic neurosyphilis versus alcoholic pseudoparesis 227

61. Alcoholic pseudoparesis versus paretic neurosyphilis 231

62. Alcoholic neuritis and paretic neurosyphilis 234

63. Chronic alcoholism versus paretic neurosyphilis 236

64. Neurosyphilis, diabetic pseudoparesis, or brain tumor 238

65. Neurosyphilis and diabetes 240

66. Neurosyphilis: hemianopsia 242

67. Paretic neurosyphilis versus syphilis and cerebral malaria 245

68. Paretic neurosyphilis: gold sol test “syphilitic.” Autopsy 247

69. Lues maligna 250

70. Neurosyphilis versus multiple sclerosis 253

71. Atypical neurosyphilis 256

72. Huntington’s chorea versus neurosyphilis 258

73. Senile arteriosclerotic psychosis versus neurosyphilis 262

74. Hysterical fugue versus neurosyphilis 264

75. Tabetic neurosyphilis versus pernicious anemia 267

76. Congenital neurosyphilis 270

77. Congenital versus paretic neurosyphilis 272

78. Juvenile paretic neurosyphilis 275

79. Epilepsy versus juvenile neurosyphilis 277

80. Addison’s disease and juvenile paretic neurosyphilis. Autopsy 279

81. Neurosyphilis of the secondary period 283

82. Taboparetic neurosyphilis and typhoid meningitis. Autopsy 284