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This monograph on syphilis of the nervous system fills a long-felt want, as there are few recent volumes which are devoted entirely to this subject.
In fifteen well written chapters the author discusses the etiology, morbid anatomy, symptomatology, diagnosis, prognosis and treatment of neurosyphilis, including special chapters devoted to meningovascular neurosyphilis, dementia paralytica, tabes dorsalis and congenital and other forms of neurosyphilis.
The subdivision of interstitial (meningovascular) neurosyphilis into various types, based on anatomic changes, is instructive if not practical from a clinical standpoint. The term preparetic neurosyphilis is used to indicate what is generally called late asymptomatic neurosyphilis. There is good reason for this, for, as the author points out, such a process is almost certainly parenchymatous and is a preliminary stage of dementia paralytica or tabes dorsalis.
Differential diagnosis of entities closely resembling syphilis of the nervous system is dealt with in a thorough and comprehensible way that