Locomotor Ataxia (Tabes Dorsalis)

Locomotor Ataxia (Tabes Dorsalis)

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This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1918 edition. Excerpt: ...urethra and the patient is astonished to feel the unexpected wetness on his thighs. Often the initial, and sometimes the only, accident of this kind occurs, not during exertion, but during the sphincter relaxation of sleep. These accidents increase in frequency.. The urine-soaked garments of the tabetic are an unpleasant feature of most neurological clinics. The weakness of the expelling power renders micturition not only an incomplete but a lengthy process. The stream has not force adequately to distend the urethral walls, so it issues small, may be forked; and, instead of continuing powerfully forward, falls immediately from the urinary orifice. Indeed, there may be no stream, merely a discontinuous trickle, which the tabetic must direct away from his person. The tabetic may lose all desire and urinate only from a sense of expediency or from the wish to evade dribbling. The act is then performed in complete isolation; he sits or kneels or bends, presses on his abdomen, coughs and evokes the aid of the sound of running water. Sometimes, he can urinate only if immersed in a bath. And when thinking the act complete, he adjusts his garments, he may be annoyed by continued dribbling. Immediately after urination, the tabetic bladder may yield five or more ounces to a catheter. The intermittent trickle of urine in tabes is not like the flow from a fistula; nor is it a paralytic incontinence. It is purely a mechanical effect analogous to the overflow which occurs from a bladder with an enlarged prostate. There is no leakage in tabes unless the bulk of the urine exceeds the containing power of the bladder: dribbling in tabes results solely from over-distention, the product of infrequent and imperfect emptying. If, by periodic evacuation, the bladder be...show more

Product details

  • Paperback | 76 pages
  • 189 x 246 x 4mm | 154g
  • Rarebooksclub.com
  • Miami Fl, United States
  • English
  • black & white illustrations
  • 123655907X
  • 9781236559074