Paralyses, Cerebral, Bulbar and Spinal; A Manual of Diagnosis for Students and Practitioners

Paralyses, Cerebral, Bulbar and Spinal; A Manual of Diagnosis for Students and Practitioners

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This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1886 edition. Excerpt: ...clonic spasms in the same parts. In other instances we have a condition of rigidity in the limbs of one side, combined with clonic spasms in one or both extremities of the opposite side. In two recent cases, I met in one, with frequently recurring unilateral convulsions, affecting the paralysed side; while in the other case, in which the blood seems to have been poured out much more rapidly, there was a complete absence of rigidity or convulsions, and rather the existence from the first of a general relaxation of lilnbs. Concerning the cause of the rigidities or convulsions, when they occur, the views of Pitres have already been referred to (p. 296). In this class of cases ' conjugate deviation ' of the eyes is sometimes present from the first--pointing to the side of the brain on which the haemorrhage with laceration has occurred. And if the coma is not too profound, the conclusion that may be drawn from this indication may be confirmed by the discovery of some slight signs of sensibility on the side of the body towards which the eyes are turned. Touching the conjunctiva on this side, for instance, may produce some closure of the eyelids, whilst irritation of the conjunctiva on the other side (opposite to that of the brain lesion) gives rise to no corresponding reflex movements. The grouping of symptoms just described is tolerably distinctive of haemorrhage into the lateral ventricle s. When such symptoms are present we should in the majority of cases be justified in arriving at this diagnosis. More rarely, however, we find such combinations of symptoms pretty closely imitated by the results of lesions in the pons Varolii, when we have to do with injuries, either (a) small at first and subsequently increasing, or (b) large...show more

Product details

  • Paperback | 260 pages
  • 189 x 246 x 14mm | 472g
  • Rarebooksclub.com
  • United States
  • English
  • black & white illustrations
  • 1236933117
  • 9781236933119