Shell-shock and other neuropsychiatric problems

by Elmer Ernest Southard

Shell-explosion; burial: Tabes dorsalis incipiens.

Case 22. (Duco and Blum, 1917.)

A French soldier was buried by effects of shell explosion September 8, 1914. He sustained no wound or fracture.

Incontinence of urine developed. Anesthesia of penis and scrotum. Reflexes absent; pupils sluggish. Wassermann reactions suspicious.

The diagnosis tabes dorsalis incipiens was made (hematomyelia of conus terminalis eliminated).

The patient was estimated to be “40% incapacitated,” according to the French “échelle de gravité” of conditions. A full pension would not be justified in the opinion of the French authors.

SHELL-SHOCK PSEUDOTABES (non-syphilitic, serum W. R. positive). Improvement.

Case 23. (Pitres and Marchand, November, 1916.)

Innkeeper B., 36, a shell-shock and burial victim June 20, 1915, was looked on by a number of physicians as a case of genuine tabes.