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February 11, 1905


JAMA. 1905;XLIV(6):481. doi:10.1001/jama.1905.02500330049011

As is well known, locomotor ataxia, while not of itself a fatal disease, is often attended with symptoms or complications of a most distressing and even serious character. Motor inco-ordination is not always the most conspicuous manifestation, and it may at times be so little marked as to escape cursory observation. Not less common than ataxia, and earlier in appearance, are pains of one kind or another, and which may at times be so severe as to dominate the clinical picture. They are often mistaken for rheumatism or gout or neuritis, but their real origin can usually be determined from a study of the other symptoms present in the individual case. Sir William Gowers,1 in a recent clinical lecture, took up for consideration the pains of tabes, discussing at some length a condition to which he gives the name of tabetic neuralgia. He makes two divisions of the pains