JAMA. 1890;XIV(6):203-204. doi:10.1001/jama.1890.02410060023004.
Text Size: A A A
Published online


An examination of the reports of our insane asylums will show the large proportion of cases of general paralysis of the insane among the inmates of these institutions, and treatment has rarely resulted in recovery. Sometimes, as is familiar to the medical officers of asylums, there will be a marked improvement in the mental condition of patients of this class, and the hope is entertained that recovery will follow; but this improvement is usually temporary, and the relapse is a condition worse than before.

A short time ago Dr. T. Claye Shaw reported in a conservative manner a case of general paralysis with bulbar symptoms, that was seen also by Dr. Ferrier, who agreed that the case was fast becoming one of dementia, and that trephining alone afforded hope of relief. Dr. Shaw based his conclusions of the promise of relief afforded by the operation on the fact that pathological


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview




Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.