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Updated: May 1, 2025
Even such symptoms as poverty and dissociation of affect, usually regarded as pathognomonic of dementia præcox, have been described in the foregoing chapters. Either recovery in our cases was accidental or there is a distinct clinical group with a good prognosis.
As a matter of fact, in many if not most cases there is a slow onset characterized by the pathognomonic symptoms of dementia præcox before the actual stupor sets in. We have reason to believe that both these conditions are essentially the result of absorption in kaleidoscopic ideas.
"In your case," he continued, "the pathognomonic, if you will excuse medical slang, was every now and then broken by the intrusion of altogether foreign symptoms." I listened with breathless attention.
By palpation, for the recognition of density and for determining the presence or absence of hyperthermia, one may decide that there exists an abscess and not a tumor. Edematous swellings are recognized by palpation, the characteristic indentations which may be made in dropsical swellings are pathognomonic indicators.
It has been seen in the preceding history of the disease, and in the accompanying cases, that certain affections, the tremulous agitations, and the almost invincible propensity to run, when wishing only to walk, each of which has been considered by nosologists as distinct diseases, appear to be pathognomonic symptoms of this malady.
Dreams, nightmare, and night terrors form too extensive a subject and one too well known to be discussed at length here, but it might be well to mention that sometimes dreams are said to be pathognomonic or prodromal of approaching disease. Cerebral hemorrhage has often been preceded by dreams of frightful calamities, and intermittent fever is often announced by persistent and terrifying dreams.
There he sat, unmoved, immoveable a sad and melancholy victim of the worst species of hypochondria that which exhibits as one of its pathognomonic symptoms, the desire, the determination, persevered in through all difficulties, all oppositions, all wiles and schemes, to commit self-murder.
Further, Knauer reports that even at the height of post-rheumatic stupor, external stimuli make some impression, in that a thoughtful facial expression appears. In deep stupors, such as occurred in our series, this response is not seen. The same phenomenon of “rousing,” larval in Knauer’s cases, is often well marked in encephalitis lethargica and is, of course, a pathognomonic symptom of delirium.
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