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Updated: June 22, 2025
In the middle was a vacant space to which he was led, and desired to sit down. Two slaves in striped cotton tabes, who were fanning the air through a lattice work of cane, pointed out the retirement of the sultan. This shade was removed, and something alive was discovered on a carpet, wrapped up in silk tobes, with the head enveloped in shawls, and nothing but the eyes visible.
There are, as has been pointed out by Mott, a leading authority in this matter, five ways in which syphilis affects the brain and nervous system: by moral shock; by the effects of the poison in producing anæmia and impaired general nutrition; by causing inflammation of the membranes and tissues of the brain; by producing arterial degeneration, leading on to brain-softening, paralysis, and dementia; as a main cause of the para-syphilitic affections of general paralysis and tabes dorsalis.
The rapidity of the destructive changes in certain cases of tabes, and the entire absence of joint lesions in others, would favour the view that special parts of the spinal medulla must be implicated in the former group. Except that the joint disease is seldom symmetrical, it closely resembles the arthropathy of tabes.
In myelitis, progressive muscular atrophy, poliomyelitis, insular sclerosis, and in traumatic lesions, joint affections are occasionally met with. Although they usually develop in the ataxic stage, one or more years after the initial spinal symptoms, they may appear before there is any evidence of tabes. The onset is frequently determined by some injury.
Cyprian, in a beautiful passage on envy, calls it 'the moth of the soul: but perhaps, even that passion is less gnawing, less a 'tabes pectoris, than ambition. You are surprised at my heat the fact is, I am enraged at thinking how much we forfeit, when we look up only, and trample unconsciously, in the blindness of our aspiration, on the affections which strew our path.
It is only within recent years that medical men have recognized the preponderant part played by acquired or inherited syphilis in producing general paralysis, which so largely helps to fill lunatic asylums, and tabes dorsalis which is the most important disease of the spinal cord.
Together they both went into a cheap saloon. Before speaking to the student, the actor Schwertschwanz had been thinking about what could most readily explain the doubt he had had for many years: the ultimate unimportance of all events; or only the happenstance that important people often must croak because of a lack of appropriate nourishment and medicine... the inadequacy of women... The incurable nature of Tabes disease, the symptoms of which he believed he detected in himself... When Maria Mondmilch named her profession, he lit up.
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