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May 1929

La syphilis médullaire. Lortat-Jacob and Poumeau-Delille.

Arch NeurPsych. 1929;21(5):1226. doi:10.1001/archneurpsyc.1929.02210230240023

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The authors offer, in this short monograph, the more recent acquisitions in the field of syphilis of the medullary portion of the cerebrospinal system. The work is divided in a logical manner, beginning with a brief historical résumé, followed by a discussion of the pathologic anatomy of each form considered. This is treated in a fairly complete manner, but the remainder is written in the characteristically sketchy style of the French.

The chapter on pathogenesis, whether one agrees or not with the authors, is rather stimulating, especially the discussion of two types of vascular involvement which result in the production of acute myelitis: (1) that with which one is familiar, an obliterative arteritis with a resulting destruction of the surrounding tissues, and (2) a form which they term "vasoparalytic." The cord is said to show extremely dilated and markedly engorged intramedullary vessels with an edema of the adjacent tissues. They