Neurological picture. Carl Wilhelm Ideler (1795-1860): a controversial German psychiatrist of the 19th century.
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Biomedical subjects
Publications and source records attributed to E Kumbier.
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Gabriel Anton (1858-1933) attained fundamental clinical neuropathological results. His scientific career and research were highly influenced by Theodor Meynert. However, in contrast to Meynert, Anton sought not only descriptions of pathological changes but also their therapy. The surgical treatment of hydrocephalus was one of his most important achievements. With this, he gave important impetus to the still new science of neurosurgery. Nowadays, Anton is still known in medical nomenclature by Anton's syndrome. The detailed description and explanation of visual anosognosia and asomatoagnosia and furthermore his emphasis on their importance can be regarded as Anton's most notable contribution to science. However, his research on basal ganglia disorders is not as well-known, although Anton's thoughts mark the beginning of further systematic research on these disorders. In addition, he did preliminary work in the development of child and adolescent psychiatry. Today, some of his work in the field of eugenics is controversial.
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Heinrich Philipp August Damerow was one of the most important German psychiatrists of the nineteenth century. His most notable achievements were in the field of institutional psychiatry. With the construction of a clinic for the mentally ill in Halle-Nietleben, Germany, he realized the concept of a "relatively integrated Mental Hospital and Asylum." As an editor of the Allgemeine Zeitschrift für Psychiatrie und psychischgerichtlichen Medicin (Journal of Psychiatry and Psychic-Legal Medicine), he exerted considerable influence. Ideologically, Damerow was a representative until about the mid-nineteenth century of the holistic approach of medicine during the Romantic period, and he was largely influenced by the ideas of Hegel. He found justification for his service to the then ruling Prussian state in the concept of the state as manifestation of divine reason. He supported a holistic approach to treating the mentally ill in which the patient is viewed as a union of body, soul, and mind. This viewpoint was evident in his critical stance toward Esquirol's concept of monomania.
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Multiple system atrophy (MSA) is a neurodegenerative disease of unclear etiology and pathogenesis. Clinically, there are combinations of extrapyramidal, cerebellar, pyramidal and autonomic dysfunctions. Diagnosis is sorted into different categories according to criteria. The appearance of hallucinations unrelated to medication is considered to be a criterion of exclusion for the diagnosis of MSA. A case is described in which delusional parasitosis occurred as a possible initial syndrome of MSA. The simultaneous appearance of MSA and a psychotic disease is possible and has been described repeatedly. Therefore, this criterion of exclusion is discussed. Delusional parasitosis is an unspecific syndrome of multifactorial genesis. Partial remission of the monothematic symptomatology of delusion shows that a continuous and consequent therapy with neuroleptics seems to be promising. In the case presented, the good efficacy of olanzapine in low dosage over an extended period of time is described.
The pathway through life of the German psychiatrist and neurologist Alfred Hauptmann (1881 - 1948) and his work is described. It is exemplary for so many of his contemporaries of Jewish origin, who were forced to emigrate under the National Socialist dictatorship. Hauptmann's career was most of all marked by the short, but to him formative time with Max Nonne. Throughout his life his research focused on neurological topics. In 1926, Hauptmann got the chair of psychiatry at Halle University in order to continue the important neurological tradition of Eduard Hitzig, Carl Wernicke and Gabriel Anton. Until 1935, he worked as the director of the psychiatric clinic in Halle, but in the course of the Reichsbürgergesetz he had to give up his chair and his work as a doctor. The way into emigration, which was accelerated by the temporary imprisonment in the concentration camp Dachau, is described considering personal documents. After his emigration into the United States, Hauptmann was not too successful in starting new as a scientist. His most important contribution is still the article on the efficacy of Phenobarbital as an antiepileptic, which had been written already in 1912. For this reason, the Alfred-Hauptmann-Award for epilepsy research is awarded. In 1941 - after his emigration - he and Siegfried Joseph Thannhauser described the autosomal dominantly transmitted myopathy for the first time, which is today described as Hauptmann-Thannhauser myodystrophy. The name of Alfred Hauptmann should be unforgettable not only because of the entrance into medical nomenclature, but it should also remind of the man Alfred Hauptmann, standing for all those whose similar fates are still unknown until now.
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A report is given in a case of appendicitis after delivery in childbed. This was the third case of appendicitis within 17 657 deliveries in the gestation of the district hospital in Sangerhausen in the period from 1960 to 1975. The chronic relapsed appendicitis produced a paralytic Ileus. By using correspondent measures (infusional therapy, appendectomy, adhesion solutions) the patient could be cured without any complications. The patient feeled a Douglas-touch of pain that extended especially to the right. This was the only symptom that was noticed by the patient besides the Ileus that had been clinical well defined and secured with the help of x-ray photo.
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