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Tabes dorsalis in the 19th century. The golden age of progressive locomotor ataxia

ISSN:0035-3787
2021年第177卷第4期
L. Tatu1, J. Bogousslavsky2
1. Department of Neuromuscular diseases and Department of Anatomy, CHRU Besançon, University of Franche-Comté, Besançon, France;2. Center for Brain and Nervous System Disorders, Genolier Swiss Medical Network and department of neurology and neurorehabilitation Clinique Valmont, Glion, Switzerland;1. AP–HP, Centre de référence maladie de Huntington, service de neurologie, hôpital Henri-Mondor, Créteil, France;2. Université Paris-Est Créteil, faculté de médecine, Créteil, France;3. Département d’études cognitives, école normale supérieure, PSL University, Paris, France;4. Inserm U955, Institut Mondor de recherche biomédicale, équipe E01 NeuroPsychologie Interventionnelle, Créteil, France;5. AP–HP, service de neuroradiologie, Imagerie Médicale, hôpital Henri-Mondor, Créteil, France;6. AP–HP, service de néphrologie, hôpital Henri-Mondor, Créteil, France;7. AP–HP, service d’immunologie clinique, hôpital Henri-Mondor, Créteil, France;8. AP–HP, service de gériatrie, hôpital Henri-Mondor, Créteil, France;9. AP–HP, service de cardiologie, hôpital Henri-Mondor, Créteil, France;10. AP–HP, département d’Aval des Urgences, hôpital Henri-Mondor, Créteil, France;11. AP–HP, unité des maladies génétiques du globule rouge, hôpital Henri-Mondor, Créteil, France;12. AP–HP, unité de Neurophysiologie Clinique, Service de Physiologie–Explorations Fonctionnelles, hôpital Henri-Mondor, Créteil, France;13. EA 4391, excitabilité nerveuse et therapeutique, Université Paris-Est-Créteil, Créteil, France;14. AP–HP, département de virologie, hôpital Henri-Mondor, Créteil, France;1. Service de neurologie, centre de référence maladies rares SLA et autres maladies du neurone moteur, CHU de Limoges, Limoges, France;2. Inserm, IRD, U1094 Tropical Neuroepidemiology, Institute of Epidemiology and Tropical Neurology, GEIST, université de Limoges, CHU de Limoges, Limoges, France;3. Fédération des Centres SLA de Limoges et Tours, Litorals, Limoges, France;4. Centre de référence maladies rares SLA et autres maladies du neurone moteur, CHU Bretonneau, Tours, France

Tabes dorsalis, a late neurological complication of syphilis, is nowadays almost extinct. The path to understanding this disease and its pathophysiology was long and winding, spanning multiple centuries. The 19th century was a crucial period for understanding it. In the first third of the century, German and French physicians defined the semiology of tabes dorsalis, renamed in France “ataxie locomotrice progressive [progressive locomotor ataxia].” Nevertheless, the multiplicity of ancient and recent terms and the description of sometimes unclear nosological concepts (tabes nervosa, tabes spasmodic, nervo-tabes, etc.) were a hindrance to understanding it. Tabes dorsalis was a fertile ground for the description of many clinical signs that have become classics in medicine. No real treatment was available and various unusual therapies were performed. For a long time, the etiology of this disease remained unknown. The link between syphilis and tabes dorsalis was slowly established in the second part of the 19th century from epidemiologic observations. We present an overview of the concept of tabes dorsalis in the medical context of the 19th century and discuss the medical observations of some famous patients suffering from the disease such as Édouard Manet (1832–1883) and Alphonse Daudet (1840–1897).

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ISSN:0035-3787
2021年第177卷第4期

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