The application of surgical treatment to neurasthenia implies a belief that in the given case the nervous condition is the product of local suffering; and the attainment of the ultimate object of course implies the complete relief of the local suffering as the first step in the process of cure. It therefore seems logical that any discussion of the surgical aspects of neurasthenia should begin by consideration of the results which may be expected from the relief of the local symptomatology.
In this particular subject of the connection between the ptoses and neurasthenia we are met at the outset by the significant fact that after many years of collective experience in the surgical treatment of the ptoses, the discussion about the end results of operation is almost as active and as much a moot question as it was ten years ago.
It is further significant that a review of the literature
REYNOLDS E. THE ETIOLOGY OF THE PTOSES AND THEIR RELATION TO NEURASTHENIA. JAMA. 1910;55(23):1943-1949. doi:10.1001/jama.1910.04330230001001