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Related post: 4. By paralysis of the renal epithelium.
The balance of evidence seems to be in favor of the
first view, that there is an overproduction of sugar in
diabetes mellitus, in consequence either of direct nerve
stimulus to the hepatic cells, or the removal of some
influence which normally controls their function — for
example, the pancreatic juice. Pavy regards the ex-
cessive activity or morbid function of the liver to be
due to a vasomotor paralysis.
Seegen and Ebstein are supporters of the view that
diabetes depends upon the non-destruction or dimin-
ished consumption of sugar by the tissues, and are also
supported by von Noorden in their views.
It is possible, as von Noorden suggests, that over-
production and underconsumption of sugar may al-
ternate in the same individual.
The evidence in favor of the theory of the renal
origin of diabetes is as yet not convincing.
©righml €ommuuinitions.
HEREDITARY NEUROTIC CONDITION
AND ACQUIRED INSTABILITY AND DISEASE
ASSOCIATED Flutamide Eulexin WITH CRIME. ■
WITH THE BEPORT OF A CASE.
Bt henry LYLE winter, M.D.,
CLINICAL ASSISTANT. Buy Eulexin DEPARTMEKT OF NERVOrs DISEASES,
IN THE MEDICAL SCHOOL OF TUE NEW TORK fNITE liSITY .
The following case is selected for detailed report
because of its interest from the medico-legal and an-
thropological view points.
G. W., aged thirty-nine years; nativity. United
States; occupation, painter. Presented himself for
treatment November, 1895.
Family History. — Father and paternal grandfather
alcoholic (father died in an inebriate asylum). Ma-
ternal grandmother, insane.
Personal History. — Only child of parents; had sev-
eral infantile convulsions, last one at five years of age
(these were ascribed to indigestion); alcoholic since
sixteen years of age; syphilitic "(?) (had chancre in 18S2,
but no consequences)." In 1891 took one of the "gold
cures " for alcoholism without curative results.
General condition: Appearance ancemic; muscular
S3'stem poorly developed; tongue coated; bowels consti-
pated; appetite poor. Education meagre (reading, writ-
ing, and the elements of arithmetic). Intelligence fair.
Memory poor. Temperament moody and at times iras-
cible. Reflexes normal.
The patient reports that four years ago he began to
622
WINTER: HEREDITARY NEUROTIC CONDITION AND CRIME.
fN. Y. Med. Jonn.,
suffer with severe headache, which was followed, after
a few days, by a numbness and loss of power, beginning
in the fingers of the left hand and gradually involv-
POSTERIOR
ANTERIOR
Contour circumference of G. W. Anterior = frontal : posterior = occiput ; con-
tinuous line = contoiu of head ; dotted line = as it should be if symmetrical.
ing the whole left side. This condition persisted for
about three days, when a severe convulsion occurred,
after which the left side became normal. Since that
time he has had more or less
severe couAailsions, described
as general, at intervals varying
from a few hours (six to
eight) to two weeks. Each at-
tack is preceded by the follow-
ing aura: The patient sees a
small, bright spark in the dis-
tance, which gradually grows
nearer, increasing in size as it
advances, until it finally strikes

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