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October 28, 1944

THE INITIAL NEUROLOGIC AND PSYCHIATRIC SYNDROME OF PULMONARY GROWTHMAJOR Dr. A. M. MEERLOO, F.R.S.M. OF THE ROYAL NETHERLAND ARMY

JAMA. 1944;126(9):558-559. doi:10.1001/jama.1944.02850440030008

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Abstract

The syndrome described in this article demonstrates the fact that psychologic and somatic phenomena continually merge into one another, and that in pathology it is impossible to separate them.

It is not widely known that patients with a growth in the thoracic cavity often go in the first place to a neurologist. If one bears in mind that the initial complaint which gives rise to so serious a diagnosis is generally of vague neuralgic pains, it is important to consider the subject closely. The anamnesis is characteristic: the apparently healthy patient complains of spreading pains in the back or limbs. Intermittent neurologic signs and symptoms may be present or not. The patient is psychologically somewhat disturbed; his attention is rather closely fixed on his own pains. His intimates or his family doctor send him to the neurologist with a diagnosis of hysteria or neurosis. In the ordinary way the neurologist

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