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November 19, 1898


Author Affiliations
Lecturer on Nervous Diseases, University of Cincinnati Medical Department; Neurologist to Cincinnati Hospital. CINCINNATI, OHIO.CHICAGO.
JAMA. 1898;XXXI(21):1214-1219. doi:10.1001/jama.1898.92450210015002e

The literature on localized lesions of the central nervous system occurring as a result of uremic attacks is very scanty. A diligent perusal of many American text-books on general internal medicine, as well as the text-books on nervous diseases, fails to find mention of the subject at all.

It is true that compared with the multiform manifestations of uremia, especially compared with the frequency of convulsive attacks, the paralytic attacks occur very rarely; or, perhaps, it were better to say, are rarely recorded, and this is probably due to the peculiar character of the paralytic attacks and to the rapidity with which the manifestations disappear. The study becomes all the more interesting because of the light which the subject seems to throw upon the nature of other central disturbances of the nervous system. If the advance in our knowledge of medicine has been marked in the past quarter of a