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On Progressive Locomotor Ataxia

Published online by Cambridge University Press:  19 February 2018

Extract

The three works whose titles we have placed at the foot of this article∗ represent almost entirely our current English literature on the disease, ‘progressive locomotor ataxia,’ of which they all treat, and it is therefore the more unfortunate, and almost provoking, to find that all three of them, although most excellent so far as they go, are professedly incomplete in their purpose and scope. Thus Dr. Althaus has given us a lecture, which is admirably calculated to give a general notion of the disease to a beginner, but does not answer many questions which the more advanced practitioner would ask.

Type
Part I.—Original Articles
Copyright
Copyright © Royal College of Psychiatrists, 1867 

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References

1. ‘On Epilepsy, Hysteria, and Ataxy.’ Three Lectures, by Julius Althaus, M.D., Physician to the London Infirmary for Epilepsy and Paralysis. (London, Churchill, 1866.)—2. ‘St. George's Hospital Reports.’ Vol. I, 1866. " On the Diagnosis, Pathology, and Treatment of Progressive Locomotor Ataxy," by J. Lockhart Clarke, F.R.S.—3. ‘Professor Trousseau's Clinical Lectures,’ translated, with Notes and Appendices, by P. Victor Bazire, M.D., &c. (London, Hardwicke, 1866.)Google Scholar

“Dorsualis,” as used by the Germans, is the more classical form of the adjective.Google Scholar

In the description of “Tabes Dorsualis” in the edition of his great work for 1857.Google Scholar

‘Nervenkranheiten,’ Bd. i, Abth. 3, p. 684.Google Scholar

‘Union Médicale,’ Mars, 1865Google Scholar

Dr. Hughlings Jackson stated, and Mr. Clarke has repeated, that the ophthalmoscopic appearances of amaurosis from ataxia are different from those of amaurosis from cerebral disease; but this would appear not to be the case. See a letter from Dr. Althaus in the ‘Lancet’ of June 17th, 1865.Google Scholar

Jaccoud quotes three remarkable cases, in which, shortly before death, patients who had long been suffering from ataxia presented symptoms of general paralysis (“délire ambitieux”). Had we more details given, these cases might lead to clear up some of the obscurity attending the form of general paralysis, where motor signs precede the mental disturbance.Google Scholar

See papers on " Cerebellar Disease," by MM. Leven atid Ollivier, in ‘Archives Gén. de Méd.,’ 1862 and 1863. Mr. Clarke mentions a case of ataxia, in which vomiting was a prominent symptom.Google Scholar

Thus M. Charcot, besides those cases in which the disease has spread from the posterior columns of the cord, has found it in the lateral columns only (in two cases of permanent muscular contractions in hysterical patients), and in circumscribed patches, distributed through the cord irregularly.—(‘Union Médicale,’ 9 Mars, 1865.)Google Scholar

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