Neurological Bulletin; Clinical Studies of Nervous and Mental Diseases in the Neurological Department of Columbia University Volume 2

Neurological Bulletin; Clinical Studies of Nervous and Mental Diseases in the Neurological Department of Columbia University Volume 2

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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. 1919 edition. Excerpt: ... '40,374. Male, fifty-two years of age, driver by occupation. On January 1, 1919, the patient developed a fever, became markedly irrational and complained of severe, constant headache. His history showed no previous illness, either recent or remote. He had not suffered from influenza. After a period of marked restlessness and insomnia lasting three days after admission into the hospital, he gradually became more and more somnolent and remained in a stage of lethargy for three weeks. During this time he could be aroused and for a moment or two would respond to questions and follow simple instructions. He took his food well and would even sit up in bed if instructed to do so. Immediately after being aroused, however, he would lapse back into a somnolent condition, in which he would remain almost without a movement of his limbs for a number of hours. Both arms and legs were held in a semiflexed position most of the time but it was possible to extend them without much force, the muscles seeming to be in a slight degree of spasticity. All the deep reflexes were active and equal on the two sides. There was no clonus and no Babinski or any other pathological reflex observed. On January 14, 1919, the right pupil was larger than the left and was fixed to light stimulation. There was also a right divergent strabismus but the fundoscopic examination showed nothing abnormal in either eye. Upon testing the vision, it was found that there was a diplopia on looking both to the right and to the left. This was considered indicative of a partial paralysis of the third nerve on the right side. The following laboratory records are significant: January 2, 1919. Spinal fluid, 5 c.c. withdrawn, slightly tinged with blood. There was no increase of pressure. The fluid...show more

Product details

  • Paperback | 134 pages
  • 189 x 246 x 7mm | 254g
  • Rarebooksclub.com
  • Miami Fl, United States
  • English
  • black & white illustrations
  • 1236627431
  • 9781236627438