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366 KAPLA.X: SEROLOGICAL ANALYSES /iV NEVHOLOGY. REFEREN'CES. I. MAYO: Surgery, Gynecology, and Obstetrics, xiv, I'ebruary. 1912. 2. WEIL: Berliner klinischc IVoclunschrift^ 1. March 3, 1913- 3 I'UGINAMI: Deutsche medisinische Wochenschrill, xxxviii, March 14. 1912. 4. PATTERSON: Lancet, February J4, 1906, p. 499. 5. SCUDDER: Surgery. Cynecologv, and Obstetrics, xiv, April, 1912. 6. SATTERLEE: New York State Journal of Medicine, xii. Jnne, 1912. 7. ELIOT: Annals of Surgerv, xiv. Nos. 4 and 5, 1912. 8. WILMS: Deutsche nudi:mische Ifochen- schrifr 1908, No. 41; and Centralblatt IHr Chirurgie, IQ08, No. 37. 9- FISCHUER: Mitteilungen aus generic neurontin 300mg dcm Grensgebicte dcr Mcdisiit und Chirurgie, xx, p. 663. 10. JACKSON: Surger\, Cynecologv. and Obstetrics, September, 1909. n. GERSTER; Annals of 5nV- gery, 1911, liv, p. 325. 12. PILCHER: Annals of Surgery, 1912, I^'A&v'.Jt t'^- JACKSON: Annals of Surgery, 1913, Ivii, p. 374- M neurontin mg CONNELL: Surgery, Gynecology, and Obstetrics, 1911, xiii, p. 485. IS- LANE: neurontin 600 mg high Lancet, April 30, 19 10. 51 W')IST FiFTY-FOL-RTH StREET. THE lMPt)RTANCE OF SEROLOGIC.VL ANALYSES IN NEUROLOGY. By D. M. Kaplan, M. generic neurontin available D., New York. Director of Laboratory, Neurological Instmue. (Concluded from page 312.) Plant, in his book neurontin price comparison on the significance of the Wassennann reaction in psychiatry, placed consid- erable value neurontin 200 mg on the absence of this reaction in the spinal .fluid and its presence in the serum, consid- ering this combination as significant of cerebro- spinal syphilis. He has since then (1909) changed his attitude regarding this point. Among 114 cases observed by me, sixty-seven patients showed this form of serological condition. Six patients from this group were considered general paretics, and neurontin price streets the three patients spoken of before who improved neurontin 300 mg pain after treatment v/ere from this group. As the pathological neurontin 800mg basis of general paresis is originally of a luetic nature, and as there are a fe\v cases of cerebrospinal syphilis with a com- paratively low cell count which' is not the result of treatment, one may not be entirely wrong in con- sidering those cases with from fifty to eighty cells per c. mm. as transitional stages from cerebrospinal lues to neurontin prices generic general paresis. This is especially empha- sized where the Wassennann reaction is negative in the spinal fluid, thereby conforming to the French conception of the serological state of early or incipient paresis. neurontin 300 mg for nerve pain In Nonne's neurontin discounts before mentioned article, on pages 214 and 215, an attempt is mads to differentiate serologically general paresis from cerebrospinal syphilis. From a careful analvsis of his table it is hardly possible to obtain anv differ- entiating features which would enable the phy- sician, who may be in doubt, to decide either one way or another. Although I fully recognize the existence of borderline cases. I nevertheless con- sider the serological picture of the full fledged gen- eral neurontin price without insurance paretic in its typical form as decidedlv dif- ferent from the typical picture of cerebrospinal neurontin price increase lues, provided that in the latter therapy has not been efficient and recent. My differentiation is as shown in the following table. SEROLOGICAL DIFFERENTIATION BETWEEN UNTREATED. Cerebrospinal syphilis, ghty per cent. General paresis. Serum — ■ Wassermann reaction Plus strongly plus in eighty-nine generic neurontin solution per cent. Fluid -7- Wassermann reaction Plus in thirty per cent. plus in sixty-seven per cent. Fluid — generic neurontin gabapentin Cell count under eighty Over loo in ninety-five percent ill neurontin price ninety-five per cent. Fluid — Globulin e.xcess in eighty- Excess in fifty per cent. two per cent. Fluid — Fehling solution always -M neurontin discount card times no reduction. reduced. The findings according to Nonne are as follows : General paresis or generic neurontin manufacturers taboparesis. Lues cerebrospinalis. Serum Wassermann plus in near- Positive in nearly eighty to nine- ly 100 per cent. ty per cent. Pressure increased. I'requently increased. 1 hase I positive (in ca. ninety- Only exceptionally negative. five to 100 per cent.). Lymphocytosis (in ca. ninety- Like phase I, positive. five per cent.). Spinal fluid Wassennann reac- tion. (a) Using 0.2 c.c. |iosilivc in Using 0.2 c.c. positive in about nearly eighty-five to ninety ten per cent. per cent. (b) Using larger quantities as in With the Auswertungs Methode the Auswertungs Methode, 100 nearly always positive.

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