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THE INTERNATIONAL CONGRESS FOR NEUROLOGY, MENTAL DISEASES, AND PSYCHOLOGY.
765 so, it is so simple and efficacious that it deserves to be more widely known and practised. There is, moreover, the further point’that it may actually save life, though such cases must be rare, apart from those other conditions, such as apoplexy, in which its value is admittedby the medical profession. In this latter state, it is relevant to observe, the importance of Bowles’ postural treatment is officially taught to every member of an ambulance first-aid course ; so that there should be a considerable number of the general public to whom it is
perfectly familiar. KING
____
EDWARD’S HOSPITAL FUND
FOR
the oculo-motor nuclei, and Sir William Osler one complicated by hemiplegia. Poliomyelitis and peripheral neuritis have been recorded as complications, but the evidence is not altogether satisfactory. The occasional association of varicella with herpes zoster has been described by several writers. Other nervous complications recorded are convulsions, intracranial complications of otitis media, optic neuritis, hsemorrhagic pachymeningitis, and neuromyositis. Chorea has been noted to develop at the end of an attack of varicella, and tuberculous meningitis has been recorded as a sequel.
by encephalitis affecting
LONDON,
WE are asked to state that hospitals in the THE INTERNATIONAL CONGRESS FOR NEUROLOGY, MENTAL DISEASES, AND PSYCHOLOGY. County of London, or within nine miles of Charing in made to the Cross, desiring OUR Bern correspondent writes that this congress by participate grants this Fund for the year 1914, must make application will be held in Bern from Sept. 7th to 12th. The before March 31st to the honorary secretaries, invitations for the congress are just being issued. 7, Walbrook, E.C. Applications will also be con- The committee of organisation is presided over by sidered from convalescent homes which are situated within the above boundaries, or which, being situated outside, take a large proportion of patients from London. Applications will also be considered from sanatoriums for consumption which take patients from London, or which are prepared to place beds at the disposal of the Fund for the use of patients from London hospitals. THE
NERVOUS
COMPLICATIONS
OF
VARICELLA.
VARICELLA is usually regarded as a trivial disease, but occasionally it is accompanied by as grave complications as may occur in the other exanthemata. In the British Journal of Children’s Disease for January Dr. Reginald Miller and Dr. James A. Davidson have contributed an important paper on the nervous complications, which are so rare that they are not mentioned in the majority of descriptions. They consider that there is good evidence that focal lesions of the central nervous system (encephalomyelitis) may occur. They report the following case of encephalitis. A boy, aged 2i years, had a mild attack of varicella, in which the temperature did not exceed 100° F. On the fifth day he was found to be unable to stand or to talk distinctly, and there was some tremor of the The tremor of the limbs, head, and tongue. tongue passed off quickly, but four days later tremor was marked - in the limbs. It was a - slow rhythmic movement which prevented him from standing without support. The movements of the limbs were slow and stiff. The child was irritable and emotional. The reflexes were normal. The tremor in a few days gradually diminished until it was noticeable only during excitement and at the end of the month had practically disappeared. The child completely recovered but was thought to be more excitable than previously. Dr. Miller and Dr. Davidson considered that the symptoms were due to a destructive lesion of the cerebellorubro-spinal system. A similar case has been reported by Caccia. A boy aged 3 years developed tremor on the fifth day of varicella. Its onset was preceded by two days’ vomiting. He was unable to stand erect and speech was slow. Ankle clonus, increase of knee-jerk, and extensor plantar response were present on the right side. The cerebro-spinal fluid was sterile but contained 0’3 per cent. of albumin. After four weeks all the symptoms had disappeared. Caccia attributed them to encephalitis of the left cerebral hemisphere. Marfan has reported a case of varicella complicated
Professor Du Bois, of Bern. Dr. Schnyder, Monbij oust. 31, Bern, is secretary, and will receive all applications of intending members. The fee is 25 francs and will include the official report. Facilities for railway travelling will be offered and arrangements made for trips in the most beautiful parts of Switzerland. Twenty-nine countries have declared their adhesion to the congress and have appointed delegates. The list of distinguished neurologists and psychologists who will open the debates is already complete and includes the following names: Professors Alzheimer, Ramon y Cajal, Sherrington, Pierre Marie, Donaldson,
Edinger, Ehrlich, Mingazzini, von Stauffenberg, Biedl, Dejerine, and Oppenheim in the Neurological Section; Professors Gaupp, Gilbert Ballet, Strausky, Tamburini, Bechterew, Lepine, Isserlin, Redlich, Abderhalden, and Binswanger in the Psychiatric Section ; and Professors Mott, Ladame. Ziehen, Morton Prince, Sante de Sanctis, and Imey in the Psychological Section. As 53 of these and their colleagues will speak on 11 neurological, 8 psychiatric, and 7 psychological subjects, only a limited number of special papers can be read, and these must be announced to the secretary by July lst. The Swiss National Exhibition, which takes place this summer in Bern, affords an extra attraction. The President of theSwiss Republic is honorary President of the Congress. HERPES SUPRALARYNGEUS. UNDER this appellation Dr. Vittorio Grazzi, professor of laryngology in the University of Pisa, draws attention in a recent number of Il Policlinico1 to an unusual form of herpes localised in the glosso-epiglottic folds, the free edge of the epiglottis, and the upper parts of the larynx. He quotes Morell Mackenzie and StClair Thomson as having on very rare occasions observed herpes in the upper parts of the larynx, and he has himself only seen four cases, three of which had not previously been diagnosed. Usually there are manifestations of herpes in other parts of the body, but the condition may be limited to the laryngoscopic region, while the fauces may not even be congested. The course of the disease is five or six days, and a promi. nent symptom is the severe burning pain, which is increased by deglutition, coughing, and speaking, so much so that one of the patients in order to satisfy his urgent craving for water was obliged to 1
Il Policlinico, Anno xxi., Fasc. 8, Feb. 22, 1914, Roma.
perfectly familiar. KING
____
EDWARD’S HOSPITAL FUND
FOR
the oculo-motor nuclei, and Sir William Osler one complicated by hemiplegia. Poliomyelitis and peripheral neuritis have been recorded as complications, but the evidence is not altogether satisfactory. The occasional association of varicella with herpes zoster has been described by several writers. Other nervous complications recorded are convulsions, intracranial complications of otitis media, optic neuritis, hsemorrhagic pachymeningitis, and neuromyositis. Chorea has been noted to develop at the end of an attack of varicella, and tuberculous meningitis has been recorded as a sequel.
by encephalitis affecting
LONDON,
WE are asked to state that hospitals in the THE INTERNATIONAL CONGRESS FOR NEUROLOGY, MENTAL DISEASES, AND PSYCHOLOGY. County of London, or within nine miles of Charing in made to the Cross, desiring OUR Bern correspondent writes that this congress by participate grants this Fund for the year 1914, must make application will be held in Bern from Sept. 7th to 12th. The before March 31st to the honorary secretaries, invitations for the congress are just being issued. 7, Walbrook, E.C. Applications will also be con- The committee of organisation is presided over by sidered from convalescent homes which are situated within the above boundaries, or which, being situated outside, take a large proportion of patients from London. Applications will also be considered from sanatoriums for consumption which take patients from London, or which are prepared to place beds at the disposal of the Fund for the use of patients from London hospitals. THE
NERVOUS
COMPLICATIONS
OF
VARICELLA.
VARICELLA is usually regarded as a trivial disease, but occasionally it is accompanied by as grave complications as may occur in the other exanthemata. In the British Journal of Children’s Disease for January Dr. Reginald Miller and Dr. James A. Davidson have contributed an important paper on the nervous complications, which are so rare that they are not mentioned in the majority of descriptions. They consider that there is good evidence that focal lesions of the central nervous system (encephalomyelitis) may occur. They report the following case of encephalitis. A boy, aged 2i years, had a mild attack of varicella, in which the temperature did not exceed 100° F. On the fifth day he was found to be unable to stand or to talk distinctly, and there was some tremor of the The tremor of the limbs, head, and tongue. tongue passed off quickly, but four days later tremor was marked - in the limbs. It was a - slow rhythmic movement which prevented him from standing without support. The movements of the limbs were slow and stiff. The child was irritable and emotional. The reflexes were normal. The tremor in a few days gradually diminished until it was noticeable only during excitement and at the end of the month had practically disappeared. The child completely recovered but was thought to be more excitable than previously. Dr. Miller and Dr. Davidson considered that the symptoms were due to a destructive lesion of the cerebellorubro-spinal system. A similar case has been reported by Caccia. A boy aged 3 years developed tremor on the fifth day of varicella. Its onset was preceded by two days’ vomiting. He was unable to stand erect and speech was slow. Ankle clonus, increase of knee-jerk, and extensor plantar response were present on the right side. The cerebro-spinal fluid was sterile but contained 0’3 per cent. of albumin. After four weeks all the symptoms had disappeared. Caccia attributed them to encephalitis of the left cerebral hemisphere. Marfan has reported a case of varicella complicated
Professor Du Bois, of Bern. Dr. Schnyder, Monbij oust. 31, Bern, is secretary, and will receive all applications of intending members. The fee is 25 francs and will include the official report. Facilities for railway travelling will be offered and arrangements made for trips in the most beautiful parts of Switzerland. Twenty-nine countries have declared their adhesion to the congress and have appointed delegates. The list of distinguished neurologists and psychologists who will open the debates is already complete and includes the following names: Professors Alzheimer, Ramon y Cajal, Sherrington, Pierre Marie, Donaldson,
Edinger, Ehrlich, Mingazzini, von Stauffenberg, Biedl, Dejerine, and Oppenheim in the Neurological Section; Professors Gaupp, Gilbert Ballet, Strausky, Tamburini, Bechterew, Lepine, Isserlin, Redlich, Abderhalden, and Binswanger in the Psychiatric Section ; and Professors Mott, Ladame. Ziehen, Morton Prince, Sante de Sanctis, and Imey in the Psychological Section. As 53 of these and their colleagues will speak on 11 neurological, 8 psychiatric, and 7 psychological subjects, only a limited number of special papers can be read, and these must be announced to the secretary by July lst. The Swiss National Exhibition, which takes place this summer in Bern, affords an extra attraction. The President of theSwiss Republic is honorary President of the Congress. HERPES SUPRALARYNGEUS. UNDER this appellation Dr. Vittorio Grazzi, professor of laryngology in the University of Pisa, draws attention in a recent number of Il Policlinico1 to an unusual form of herpes localised in the glosso-epiglottic folds, the free edge of the epiglottis, and the upper parts of the larynx. He quotes Morell Mackenzie and StClair Thomson as having on very rare occasions observed herpes in the upper parts of the larynx, and he has himself only seen four cases, three of which had not previously been diagnosed. Usually there are manifestations of herpes in other parts of the body, but the condition may be limited to the laryngoscopic region, while the fauces may not even be congested. The course of the disease is five or six days, and a promi. nent symptom is the severe burning pain, which is increased by deglutition, coughing, and speaking, so much so that one of the patients in order to satisfy his urgent craving for water was obliged to 1
Il Policlinico, Anno xxi., Fasc. 8, Feb. 22, 1914, Roma.