File:The Cleveland medical journal (1913) (14776507452).jpg

Identifier: clevelandmedical12clev (find matches)
Title: The Cleveland medical journal
Year: 1913 (1910s)
Authors:
Subjects: Medicine Medicine
Publisher: Cleveland : The Cleveland Medical Journal Company
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and the National Endowment for the Humanities

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rages givenbelow has corroborative value at least. TABLE II. Disease No. of lumbar punctures Average cell count Paresis 164. 35. Tabes 16. 52. Cerebrospinal Lues 80. 83. Paresis usually gives a count ranging between eight andforty cells per c. m. m., tabes, one between forty and one hun-dred, cerebrospinal lues, between fifty and five hundred. Thelast named disease is the most variable, for in some mild formsand in the last stages the count may sink even within normallimits. There follows the record of a number of cases of paresisand cerebrospinal lues in each of which several lumbar punctureswere performed. I have not had an opportunity to follow casesof tabes so thoroughly. Horizontal spaces represent months; inthe vertical spaces are shown the number of cells per c. m. m.Dots represent lumbar punctures; brackets below show timeand duration of treatment and time of convulsive seizures is alsoindicated. The first seven cases are of cerebrospinal lues, the rest, ofparesis. TTTTrnrnTTT
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STS^Kp* Bigelow—Spinal Fluid in Syphilitic Disease 613 One of the things that we notice in reviewing this group ofcases is the fact that most of them have a rather constant degreeof pleocytosis, low, high, or medium, from which they vary littleor to which they tend to return. The greatest fluctuations occur in cerebrospinal lues; insome of these cases there is a steady decline in number of cellsas time goes on seemingly irrespective of treatment. The general physical and mental condition has no relation, as far as I could observe, to this habitual height of cell countin cases of paresis. In cerebrospinal lues the count is highestat the onset when the patient is acutely ill. As to the degree of pleocytosis at different stages of thedisease, the following table shows that the average count is higherin the earlier and later stages of paresis than in the intermediateperiod; although individual cases vary greatly. In cerebrospinallues there is usually a progressive decrease after the acu

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