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August 1992

Binswanger's Disease and German Translations-Reply

Author Affiliations

Cornell University Medical College at The Burke Medical Research Institute 785 Mamaroneck Ave White Plains, NY 10605

Arch Neurol. 1992;49(8):799-800. doi:10.1001/archneur.1992.00530320019006

In Reply.  —We appreciate Moossy's interest in our translation of Binswanger's classic article.1 With the growth of the medical literature, complete discussion of previous work within available space becomes more and more challenging. We did not mean to slight Olszewski's contribution in World Neurology in 1965. Medical historians of good will can differ about the magnitude of Binswanger's contribution. Many German neurologists consider him, together with Alzheimer, to have been one of the pioneers in delineating cerebrovascular diseases and distinguishing these diseases from other conditions, including neurosyphilis. Our complete translation meant to lay out some of Binswanger's insights that go beyond clinical and pathologic description and appear to relate to some of the current controversies about vascular dementias.The German medical tradition of which Binswanger was a part emphasized the complexity of the relationship between tissue pathology and clinical symptomatology. Clearly, clinical signs and symptoms depend, in part, on

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