Abstract
Acute syphilitic meningitis has been recognized as a clinical entity since the year 1855,1but it was not until 19022that the changes in the spinal fluid of this disease were observed. Ravaut,3writing in 1903, took the ground that syphilis in the secondary stage was a true septicemia, the skin and nervous system being principally affected. Whenever there were definite meningeal symptoms he found an increased number of lymphocytes in the spinal fluid. The cytology of the spinal fluid was then studied rather extensively during the next ten years by the French writers. It was found that occasionally an increased number of lymphocytes was present in the spinal fluid, not only in the secondary stage of acquired syphilis, but also in hereditary syphilis (Tobler,4Ravaut and Ponselle5). The increase in the number of lymphocytes was found whenever there were meningeal symptoms, but occasionally when
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