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February 4, 1905


Author Affiliations

Neurologist to the Kings County, Brooklyn Eye and Ear, Williams-burg Hospitals, Home of St. Giles and Bushwick and East Brooklyn Dispensary. BROOKLYN, NEW YORK CITY.

JAMA. 1905;XLIV(5):358-361. doi:10.1001/jama.1905.92500320022001c

Though most of the confusion which once surrounded the results of trauma to the nervous system has been dispelled, so that we are able to recognize definitely most of the functional and organic diseases for which trauma is a competent producing cause, the nature of the condition in question is still open to investigation. The questions at issue at the present time seem to be, is this pathologic entity with an organic basis, is it only a grave type of hystero-neurasthenia, is it a distinct functional neurosis, or is it a type of true multiple sclerosis?

The evidence on which rests the claim for an organic basis for this condition dates back to the findings of Westphal, who, in 1878, described disseminated foci of sclerosis in the cerebrospinal axis as a result of trauma. Bramwell also described these lesions as secondary to minute hemorrhages. Sterling Kranthal, Dumenil, Petit and