File:St. Louis courier of medicine (1899) (14804990943).jpg

Identifier: stlouiscourierof2118unse (find matches)
Title: St. Louis courier of medicine
Year: 1899 (1890s)
Authors:
Subjects: Medicine
Publisher: St. Louis, MO., : Medical Journal and Library Association of the Mississippi Valley
Contributing Library: The College of Physicians of Philadelphia Historical Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities

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Text Appearing Before Image:
beautifully illustrated, while the printing and binding
are excellent. H.

COURIER OF MEDICINE POCKET REFERENCE BOOK
AND VISITING LIST. (Perpetual. 1900. Handsomely and
durably bound in Red Morocco. Price, 75 as. [St. Louis : The
COURIER OF MEDICINE Co., Publishers.]
It is as necessary for a physician to record his business as it is for
a mercantile business to keep books. The essential book is a day-
book in which business is recorded as it occurs. This is what a visiting
list purports to be. The COURIER Visiting List is especially valuable
because it is without dates. It is, consequently, perpetual, and can be
used for an unlimited number of visits. As a visiting list is always at
hand, it can be made more ualuable by an addition of printed matter
which can be readily referred to. The printed matter of the COURIER
Visiting List is abundant and well arranged, making the book of great
assistance in bedside study. The book is recommended by reason of
its real value and great usefulness. M.

—320—
Text Appearing After Image:
SEE PAGE 378

ST. LOUIS
COURIER OF MEDICINE
Vol. XXI. NOVEMBER, 1899. No. 5.

ORIGINAL CONTRIBUTIONS.
Multiple Sclerosis.
By PHILIP ZENNER, A.M., M.D.,
OF CINCINNATI, OHIO,
LECTURER ON DISEASES OF THE NERVOUS SYSTEM IN THE MEDICAL DEPARTMENT
OF THE CINCINNATI UNIVERSITY.

MULTIPLE sclerosis, or cerebro-spinal sclerosis is, at
times, when presenting its most characteristic features,
the most striking disease of the nervous system, and
the most easily recognized and, again, it is very obscure and
almost impossible of diagnosis. It presents usually many foci
of disease ; these may be scattered over every part of the
central nervous system and even involve the roots of the
nerves. But they occur, as a rule, in certain parts ; in the
white matter much more than in the gray, and chiefly in the
pons, internal capsule, centrum ovale and the white columns
of the cord. The patches of the disease, rounded or irregularin outline, are of variable size, from ¹/₂₅ of an inch to 1 inch
in diameter. They are usually of a grayish color and of a

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