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June 14, 1913


Author Affiliations

First Assistant Physician, Government Hospital for the Insane WASHINGTON, D. C.

JAMA. 1913;60(24):1852-1855. doi:10.1001/jama.1913.04340240008005

The prognosis of cerebral syphilis depends on a prompt diagnosis, for the earlier a case comes under observation the easier it is to effect a cure. In many of our cases of cerebral syphilis we hope for recovery or, at any rate, such a degree of recovery as will enable the patient to resume his occupation and lead a useful life. This prognosis is quite justifiable, for it is astonishing how much improvement sometimes occurs under proper treatment, even in comparatively hopeless cases. Power and Murphy1 say, "There can be no question of the beneficial influence of early treatment;" and all writers agree on this point. Fournier, Lang, Oppenheim, Hjellman, Max Nonne and others believe that nervous affections are more likely to occur when treatment has either been insufficient or not practiced at all.

Recovery can be expected only so long as specific changes in the tissues are the