Malaria therapy in Spain: 100 years after its introduction as a treatment for the general paralysis of the insane

2020 ◽  
Vol 31 (3) ◽  
pp. 325-340
Author(s):  
Olga Villasante

This article addresses the implementation of malaria fever therapy in Spain. Neuropsychiatrist Rodríguez-Lafora first used it in 1924, but Vallejo-Nágera was the main advocate for the technique. He had learned the method from Wagner von Jauregg himself, and he worked in the Military Psychiatric Clinic and the San José Mental Hospital, both in Ciempozuelos (Madrid). Vallejo-Nágera worked with the parasitologist Zozaya, who had travelled to England with a Rockefeller Foundation grant in order to learn from British malariologist, Sydney Price James. This article details the results of the uneven implementation of this treatment in Spanish psychiatric institutions. Although syphilologists and internists used fever therapy for the treatment of general paralysis of the insane, they were much less enthusiastic than psychiatrists.

1924 ◽  
Vol 70 (288) ◽  
pp. 81-89 ◽  
Author(s):  
A. R. Grant ◽  
J. D. Silverston

In the early part of 1922 our attention was drawn to the excellent results claimed by Wagner-Jauregg (1), Gerstmann (2), Weygandt (3) and others in the treatment of general paralysis by the inoculation of malaria. Since July 31, 1922, over fifty general paralytics have been subjected to this form of fever therapy, and in this contribution we propose to give a brief summary of our observations and com elusions.


1932 ◽  
Vol 78 (323) ◽  
pp. 843-866 ◽  
Author(s):  
W. D. Nicol

Shortly after the introduction of therapeutic malaria into this country, the Ministry of Health and the Board of Control, in consultation with the London County Council Mental Hospitals Department, established a special centre for this treatment at Horton Mental Hospital. A separate villa in the hospital grounds was set apart for the work, and, through the interest, advice and help of Col. S. P. James, M.D., F.R.S., of the Ministry of Health, a laboratory was equipped and arrangements were made for the supply of malarial infective material to all parts of Great Britain. The work was begun in April, 1925, and during the seven years that have elapsed since then, 200 cases have been treated. These cases are all women, drawn from the various London County Mental Hospitals; recently, however, an annexe has been added to the centre, and facilities are now available for treating men also.


1934 ◽  
Vol 80 (328) ◽  
pp. 87-93
Author(s):  
S. W. Hardwick

The object of this investigation was to ascertain the value of the bicoloured guaiac reaction on the cerebro-spinal fluid in mental hospital practice. The reaction, which was first described by de Thurzo (i), is similar in principle to the Lange gold sol test, in that under certain conditions precipitation occurs from a colloidal system. Its originality depends on the fact that two dyes, naphthol green and brilliant fuchsin are contained in the system, one of which attaches itself to the precipitating colloid (brilliant fuchsin), whilst the other (naphthol green) remains in the supernatant fluid. It is claimed that it is not so susceptible to possible fallacies as the gold sol test (such as chemical uncleanliness), that it is possibly more selective in its action, and that it has the same practical value in the laboratory diagnosis of neuro-syphilis. Results have been reported on hospital cases (2) showing fair agreement with the Lange and Wassermann tests, but so far no records are available showing the value of this test in a series of neuro-syphilitic cases from mental hospitals, with the exception of a brief report on 10 cases (3). The present report deals with 325 fluids obtained from cases in L.C.C. mental hospitals, and these included 125 cases of general paralysis treated by malaria and other pyrexial therapies.


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