Treatment of Spasmodic Torticollis by Psychotherapy

Abstract

SULPHAPYRIDINE IN GONORRHOEA: RELAPSE M.THEB1iTiSI 969 1938), and the early chemotherapy with sulphapyridine reduces the possibility of involvement of the posterior urethra and its related structures.In addition, it is still important to enlist the co-operation of the patient in avoiding any form of sexual excitement and in carrying out the detailed instructions with regard to the taking of the tablets.These measures, combined with thorough tests of cure and a detailed clinical and bacteriological examina- tion of the urethra and the associated structures following upon clinical cure, can do much to reduce the incidence of late relapse.Conclusions and Summary The differentiation between late relapse and reinfection may on occasion present real difficulty.It is evident, however, from a careful analysis of a personal series of cases of urethritis treated with sulphapyridine, that late relapse may occur in a proportion of such cases.The incidence found in the present series was 3.7 per cent., and it seems that the unusually high rate of late relapse reported by Cokkinis and McElligott has not been the experience of other venereologists.While the clinical picture may vary widely in this con- dition the cause of the recurrence of signs and symptoms is often to be found in a closed focus of infection situated in the various glandular structures which normally com- municate with the urethra.The prophylaxis of late relapse is described: the suc- cessful treatment of the condition is usually dependent on the discovery and eradication of such closed foci by local measures.The wider appreciation of these conclusions is re- quired for a deeper understanding of the epidemiological problem presented by late relapse in gonorrhoea.