It is commonly parasyphilitic in origin. Paralytic symptoms first appear
in the tongue, lips, and face; the speech becomes thick and hesitating.
The paralytic symptoms gradually go on increasing, the sphincters refuse
to act, and death may occur from suffocation and choking. Sometimes,
during the earlier stages especially, there may be maniacal paroxysms or
epileptic fits. The delusions remain the same throughout, the patient
always expresses himself as being happy, and his last words will
probably have reference to money and other absurd delusions.
When a person of hitherto blameless life is charged with an act of
indecency, he should be examined for G.P.I. The condition of his
prostate should also be investigated. He may be suffering from either
mental or physical disease, or both (see p. 59).
XLIII.--MANIA
Under the term 'mania' are included all those forms of mental
unsoundness in which there is undue excitement. It is divided into
general, intellectual, and moral, and each of the two latter classes
again into general and partial.
=General Mania= affects the intellect as well as the passions and
emotions. Mania is usually preceded by an incubative period in which the
patient's general health is affected.
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