Clinical Lectures On Neurasthenia

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These cases nevertheless present certain differences from true insanity which I hope to lay before you. The bodily weakness and other symptoms of neurasthenia are present, at any rate at first ; but these are overshadowed by the mental attributes of the case. This group of cases may, I think, be called neurasthenic insanity.
9 3 114 NEURASTHENIA In another, less serious, group, which may appropriately be described as cerebral neurasthenia, the mental symptoms are pronounced, but are more or les
...s evanescent or transient. Physical disability is generally present, but we are not consulted on account of this, which is a subordinate feature ; and the spinal symptoms are absent or relatively unimportant.
Finally, there is the large group of cases, such as those we have hitherto studied together, who complain of both mental and physical weakness, in about equal proportions. These constitute the variety we already know as cerebro- spinal neurasthenia.
In point of fact the mind is very rarely free from some kind of disorder in this disease, and pure " Spinal Neuras- thenia " is not common.


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