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May 1921


Author Affiliations


From the wards and laboratory of the Philadelphia General Hospital.

Arch NeurPsych. 1921;5(5):572-579. doi:10.1001/archneurpsyc.1921.02180290083004

In view of the fact that there is no affection of any cranial or spinal nerve that is more characteristic or more easily recognizable, and scarcely any other, unless it be invasion of the optic nerves, that is followed by more lamentable results, it is rather remarkable that syphilitic disease of the eighth nerve had apparently attracted but little notice among American and English neurologists until comparatively recent years. This was so in spite of the fact that Jonathan Hutchinson had called attention to it, and had even made it one of the triad of symptoms in hereditary syphilis. He had also referred to absolute deafness coming on rapidly in secondary syphilis, usually bilateral; but he had given no systematic description of the symptoms that distinguish the affection of the cochlear nerve from that of the vestibular. Gowers has an inadequate reference to the subject; he speaks of primary degeneration