A System of Medicine Volume 7

A System of Medicine Volume 7

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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. 1899 edition. Excerpt: ... fiaccidity from paralysis of the other side. In most cases there is some paralysis of cranial nerves, as might be expected in a disease chiefly affecting the base of the brain. Oculomotor and facial palsy are seen more frequently than palsy of any other cranial nerve. Squint may be one of the earliest symptoms of the disease; and the patient's first complaint, especially if an adult, may be that he sees double. These cranial nerve palsies, like those of the limbs, are often temporary. Permanent palsies, though much less frequent, arise sometimes with, sometimes without preceding convulsions; and of these hemiplegia, brachial monoplegia, facial and oculo-motor paralysis are the most common. The speech alterations of the prodromal stage have been already referred to; but these by no means persist throughout the illness. For the most part they vary like the alternating convulsions and temporary paralyses. Delay in response, or actual speechlessness are more common in children than aphasia properly so-called. In the later stages there is great diffirulty in swallowing; but this varies from day to day in a remarkable manner. Other disorders of movement are seen at times. Mechanically associated movements may be present: for example, on forcibly flexing one leg on the abdomen the arm of the same side or the leg of the opposite side becomes flexed; and probably analogous to this is the adductor spasm in the opposite thigh produced sometimes in tuberculous meningitis when obtaining the knee-jerks; but it is not peculiar to this disease. In the early stage there is excessive h_1/permsthesia, though, on account of the general irritability of the patient, it is difficult to gauge. Nevertheless, in some cases there seem to be areas of...show more

Product details

  • Paperback | 502 pages
  • 189 x 246 x 26mm | 889g
  • Rarebooksclub.com
  • United States
  • English
  • black & white illustrations
  • 1236979788
  • 9781236979780