0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

PRESSURE ON THE CENTRAL NERVOUS SYSTEM IN ITS RELATION TO HYPERGLYCEMIA: CHRONIC PIQÛRE

WIKTOR Z. TYCHOWSKI, M.D.; CAROLINE CROWELL
Arch Intern Med (Chic). 1926;37(4):567-595. doi:10.1001/archinte.1926.00120220117009.
Text Size: A A A
Published online

Claude Bernard's piqûre1 showing the close relation of the central nervous system to carbohydrate metabolism attracted the attention of many investigators and clinicians, so that cases of transient glycosuria as well as even cases of diabetes mellitus were examined for changes in the central nervous system. Since it was found that cases of tumors of the central nervous system and also cases of recent cerebral and subdural (intracranial) hemorrhages are often associated with glycosuria, special attention was paid to cases showing symptoms of direct pressure on the medulla oblongata. Indeed, tumors of its own or neighboring tissues, blood extravasations in its immediate vicinity or even into the fourth ventricle, and echinococcus situated occasionally in the cavity of the fourth ventricle have furnished useful anatomopathologic material, suggesting strongly a possible interrelationship between the glycosuria and the pathologic findings in or near the medulla.

The accompanying table includes the cases compiled from

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();