The Dublin Journal Of Medical Science Vol 113

Author : John Wm; Moore
Publisher : Forgotten Books
ISBN 13 : 9781330178195
Total Pages : 490 pages
Book Rating : 4.1/5 (781 download)

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Download or read book The Dublin Journal of Medical Science, Vol. 113 written by John Wm; Moore and published by Forgotten Books. This book was released on 2015-06-25 with total page 490 pages. Available in PDF, EPUB and Kindle. Book excerpt: Excerpt from The Dublin Journal of Medical Science, Vol. 113: January to June, 1902 The peculiarity to which I refer was the rapid manner in which this girl of eighteen years of age became ill without any known cause or previous sickness. Within a month (as Dr. Blakeney kindly informed me) she was completely paralysed, as to motion, in both arms and legs. She was unable to stand or walk or move in bed. She lost control over the bladder and rectum, and bedsores (of which she has the scars) formed over the sacrum and nates. She was in this state of paralysis of arms and legs for four months, when the power gradually returned, and after a period of fifteen months she was discharged, at her father's request, on May 29, 1899, in very much the condition we find her in now. [The patient was here introduced and exhibited.] Analysing the symptoms in the order of their prominence one notices - I. The paraplegia to be of a complex character. The paralysis of the muscles of locomotion is incomplete, for she is able to stand a little, to fairly maintain her balance with the eyes closed, and to walk some steps with very little assistance. At the same time the gait is of the "spastic" type, and the feet are inclined to catch and to be adducted in progression. On handling the legs there is no resistance to flexion or extension such as is met with in spastic paraplegia, primary or secondary. The tendon reflexes are extremely exaggerated at the knee and ankle in either leg - the right in particular and the myotatic irritability of the quadriceps extensor cruris is readily elicited by drawing down the patella: and thus, at the same time, both reflexes, ankle clonus and knee jerk, can be demonstrated. The dorsal extensor reflex of the toes (Babinski's sign) is well marked in the right foot on stimulating the plantar surface. Sensation - tactile, thermal and algesic - is unimpaired. The partial loss of power is also demonstrable in the arms and hands, and the wrist and elbow reflexes are much exaggerated. The bladder and rectum are slightly affected, in so far as delay in micturition, and the involuntary relaxation of the sphincter ani should any strong aperient be taken. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.