File:A manual of diseases of the nervous system (1907) (14597670879).jpg

Identifier: manualofdiseases19071gowe (find matches)
Title: A manual of diseases of the nervous system
Year: 1907 (1900s)
Authors: Gowers, W. R. (William Richard), 1845-1915 Taylor, James, 1859-1946
Subjects: Nervous System Diseases
Publisher: Philadelphia : Blakiston
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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the character ofthe affection of the nerves. They are of three classes—motor weak-ness, sensory distui-bance, and inco-ordination. Psychical symptomsare sometimes pronounced, especially in alcoholic cases. Loss ofmemory, especially as regards place and time, are the most obviousconditions, but hallucinations, especially visual, are not infrequently * Schlesinger (■ Neur. Cent., 1895, p. 578) describes a form of neuritis associatedwith endarteritis obliterans similar to tliat occurring in syphilis. . SYMPTOMS, 153 present. The motor weakness depends on an affection of the motornerve-fibres, and usually involves first and cliiefly the flexors of theankle and extensors of the toes, and the extensors of the wrist andfingers in the forearm, muscles that are homologous and supplied bycorresponding nerves, the anterior tibial or peroneal nerve in the leg, theradial branch of the musculo-spiral in the arm. The result is the cha-racteristic wrist-drop and foot-drop, shown in Fig. 58. Other
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FiGt. 58.—Multiple alcoliolic neuritis; palsy of extensors of wrist and flexorsof ankle. (Prom a photograph by Mr. Hyde Marriott, B.Sc.) muscles suffer in severe cases. The sensory symptoms consist of sub-jective sensations of tingling, &c.; pains of various character, seat,and degree, often referred to the nerves or deep parts; tendernessof the skin, nerve-trunks, and muscles, and loss of cutaneous sensi-bility. The inco-ordination resembles that present in the slighterdegrees of locomotor ataxy, and is often associated with loss of themuscular sense. These symptoms will be considered in detail. Ac-cordmg to the predominance of one or other of the three sets,corresponding varieties are distinguished,—(1) a motor form, inwhich there is loss of power with or without the other syrrr^toms;(2) a sensory form, in which there is no marked muscular \-^.„Auessor inco-ordmation, but in which sensory disturbance—irritation orloss—is the chief symptom; (3) an ataxic form, in which,

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