A History of the Chronic Degenerative Diseases of the Central Nervous System
A History of the Chronic Degenerative Diseases of the Central Nervous System
Thomas Kirkpatrick Monro
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" Independent descriptions were given, two years later (1886), by Gowers and Grasset, each of whom proposed a new designation for this affection. 6 Dejerine thought — at least when he first wrote on this subject — that the sclerosis began in the posterior columns, and spread to the lateral columns by way of the meninges. Westphal seems to have considered this possibility at an earlier date, and to have put it aside on the ground that the meningeal inflammation did not correspond, in situation a...nd ATAXIC PARAPLEGIA. 31 intensity, with the lateral sclerosis. He took the lateral sclerosis to be the primary lesion. 7 An important paper on this subject was written by Dana, of New York, before Gowers's lecture on ataxic paraplegia appeared in print, but was not published till the following year (1887). Dana arranged his cases of what he termed " progressive spastic ataxia " into two groups : (1) those in which motor or spastic symptoms predominated, and (2) those in which sensory or tabid symptoms were more con- spicuous.
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