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Article
April 2, 1898

INTERNAL CEREBRAL MENINGITIS CHRONICA; NOTES ON DIAGNOSIS AND TREATMENT.

Author Affiliations

MEDICAL SUPERINTENDENT ALMA SANITARIUM. ALMA, MICH.

JAMA. 1898;XXX(14):767-769. doi:10.1001/jama.1898.72440660015001b

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Abstract

The practical importance to both physician and patient, the seeming lack of appreciation of its frequency in the most unsuspected cases and the desire to emphasize the necessity of early recognition, diagnosis and active treatment of this always grave disease, are the considerations that have led to the presentation of this subject.

Specific infection is the common and chief cause of chronic internal cerebral meningitis, chronic meningo-encephalitis and the various forms of endarteritis and peri-arteritis. This poison is prone to attack the cerebral meninges and vessels, and these pathologic conditions are seldom found in the absence of this infection. Belonging, as it does, to that class of chronic affections whose phases and results extend over many years, this disease is nearly always produced by the luetic virus, which is one of the most energetic and surely operative known in the study of disease.

It is an undisputed fact that this

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