Abstract

I desire to place these cases of syphilitic insanity on record, as they fully illustrate the difficulty of forming a speedy and accurate diagnosis from general paralysis when the personal history is not at once fully and fairly stated. There has been of late a series of admissions of syphilitic patients into this hospital, and in grouping these according to their clinical features we have found the two now to be described forming a definite class. Both were set down as general paralytics on their first reception. I had, however, the consolation of erring in the very good company of the experts who sent me these cases; and to some it may yet remain an open question whether the first impression is not correct, and whether their present recovery may not be a mere remission of true general paralysis.

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